NICOLE D MARTIN (PA-C) – Physician Assistant, NPI 1992870786

NICOLE D MARTIN (PA-C) is a healthcare provider. based in Fountain hill, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA050813 (PA). The NPI Number for NICOLE D MARTIN (PA-C) is 1992870786

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE D MARTIN (PA-C)
NPI
1992870786
Phone
Not provided
Address
510 DELAWARE AVE
Enumeration Date
21 November 2006
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107764959
Graduation Year
2001 (25 years ago)
PAC ID
3173687456
Group Practice PAC ID
6709798333
Professional Enrollment ID
I20090203000368
Address ID
PA181023406AL421XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for NICOLE D MARTIN (PA-C)

  • 510, Delaware Avenue, Fountain Hill, Lehigh County, Pennsylvania, 18015, United States

    FOUNTAIN HILL, PA 180151280

    Phone:

    Type: Mailing

  • 801 OSTRUM ST

    BETHLEHEM, PA 180151000

    Phone: (484) 526-6643

    Type: Mailing

  • 801 OSTRUM STREET

    BETHLEHEM, PA 180151065

    Phone: (484) 526-6643

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090203000368IPhysician AssistantPATBD
I20200116001182IPhysician AssistantNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9576$0
99239Hospital discharge day management, more than 30 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 18015)

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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: 6709798333View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to NICOLE D MARTIN (PA-C)?
NPI 1992870786 is assigned to NICOLE D MARTIN (PA-C) under the national enumeration system.
Does this profile mean NICOLE D MARTIN (PA-C) is currently active?
Yes — NICOLE D MARTIN (PA-C) appears active in the national provider directory.
What does NICOLE D MARTIN (PA-C) treat or focus on?
Patients typically see NICOLE D MARTIN (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does NICOLE D MARTIN (PA-C) practice in Pennsylvania?
You will see Fountain Hill, Pennsylvania on file for NICOLE D MARTIN (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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