KRISTEN R MARTIN (MSN-NP) – Nurse Practitioner, NPI 1639765514

KRISTEN R MARTIN (MSN-NP) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN-NP. They hold a License No. AP144964 (TX). The NPI Number for KRISTEN R MARTIN (MSN-NP) is 1639765514

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN R MARTIN (MSN-NP)
NPI
1639765514
Phone
(903) 595-6680
Address
700 OLYMPIC PLAZA CIR STE 508
Enumeration Date
15 December 2020
Last Update Date
15 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4302004350
Graduation Year
2019 (7 years ago)
PAC ID
3072925668
Group Practice PAC ID
8628322831
Professional Enrollment ID
I20201228000231
Address ID
TX755034306TE5904XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KRISTEN R MARTIN (MSN-NP)

  • 700 OLYMPIC PLAZA CIR STE 508

    TYLER, TX 757011952

    Phone: (903) 595-6680

    Fax: (903) 592-1934

    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 3 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2023-09-18 • Largest payer in this snapshot: AXOGEN ($37).

Total Amount

$81

General + Research + Ownership

Payments

3

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-18

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: 2020-12-28

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
I20201228000231INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75701)

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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: 8628322831View full group profile
NameSpecialtyState
-AR
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
-TX
Emergency Medicine, Family Practice, Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
-AR
Internal MedicineTX

Reviews

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Frequently asked questions

What is KRISTEN R MARTIN (MSN-NP)'s NPI number?
KRISTEN R MARTIN (MSN-NP)'s NPI is 1639765514 — the number used across U.S. healthcare to identify this provider.
Would KRISTEN R MARTIN (MSN-NP) appear as active to a payer?
You can treat KRISTEN R MARTIN (MSN-NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KRISTEN R MARTIN (MSN-NP)'s focus?
For KRISTEN R MARTIN (MSN-NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTEN R MARTIN (MSN-NP)?
Directory geography for KRISTEN R MARTIN (MSN-NP) centers on Tyler, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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