KIMBERLY MARIE MARTINEZ (ANP) – Adult Health Nurse Practitioner, NPI 1083637680

KIMBERLY MARIE MARTINEZ (ANP) is a healthcare provider. based in Mcminnville, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 094006411N3 (OR). The NPI Number for KIMBERLY MARIE MARTINEZ (ANP) is 1083637680

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY MARIE MARTINEZ (ANP)
NPI
1083637680
Phone
(503) 434-6090
Address
2700 SE STRATUS AVE UNIT 304
Enumeration Date
25 July 2006
Last Update Date
5 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034341110
Graduation Year
1998 (28 years ago)
PAC ID
1658363395
Group Practice PAC ID
6103729314
Professional Enrollment ID
I20040401000746
Address ID
OR971286258MC2700XAVEX412
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for KIMBERLY MARIE MARTINEZ (ANP)

  • 2700 SE STRATUS AVE UNIT 304

    MCMINNVILLE, OR 971286257

    Phone: (503) 434-6090

    Fax: (503) 474-3306

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,214.

Total Amount is formed as General ($1,214) + Research ($0) + Ownership ($0) = $1,214.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ARGENX US, INC. ($259).

Total Amount

$1,214

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040401000746INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes247186$0
99214Established patient office or other outpatient visit, 30-39 minutes14385$0
36415Insertion of needle into vein for collection of blood sample4011$0
View full utilization report →

Insurance plans in this area (ZIP 97128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103729314View full group profile
NameSpecialtyState
-OR
General SurgeryOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Orthopedic SurgeryOR
Hospitalist, Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YLA
Internal MedicineOR
Internal MedicineOR
-CA
-OR

Reviews

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Frequently asked questions

Can I verify KIMBERLY MARIE MARTINEZ (ANP) with an NPI only?
You can start verification with NPI 1083637680 for KIMBERLY MARIE MARTINEZ (ANP), then check state licensing separately.
Can I rely on KIMBERLY MARIE MARTINEZ (ANP) being an active provider?
As of the registry snapshot, KIMBERLY MARIE MARTINEZ (ANP) is marked active.
What is KIMBERLY MARIE MARTINEZ (ANP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for KIMBERLY MARIE MARTINEZ (ANP) here. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLY MARIE MARTINEZ (ANP)?
KIMBERLY MARIE MARTINEZ (ANP)'s geographic hint is Mcminnville, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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