MRS. KELLI KAY MARTIN (FNP-C) – Nurse Practitioner, NPI 1942787528

MRS. KELLI KAY MARTIN (FNP-C) is a healthcare provider. based in Flint, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP137538 (TX). The NPI Number for MRS. KELLI KAY MARTIN (FNP-C) is 1942787528

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLI KAY MARTIN (FNP-C)
NPI
1942787528
Phone
(903) 825-6222
Address
20208 State Highway 155 S
Enumeration Date
25 July 2018
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
1557612769
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20180927002445
Address ID
TX758016901PA3201XLOOP300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. KELLI KAY MARTIN (FNP-C)

  • 20208 State Highway 155 S

    Flint, TX 757625600

    Phone: (903) 825-6222

    Type: Location

  • 3201 S Loop 256

    Palestine, TX 758016901

    Phone: (903) 661-7057

    Type: Location

  • 1505 HIGHWAY 19 SOUTH

    ATHENS, TX 75751

    Phone: (903) 675-1725

    Type: Location

  • 2026 S Jackson St

    Jacksonville, TX 757665822

    Phone: (903) 589-7017

    Type: Location

  • 2116 E Rusk St

    Jacksonville, TX 757669052

    Phone: (903) 541-4545

    Type: Location

  • 800 E Dawson St

    Tyler, TX 757012036

    Phone: (903) 593-8441

    Type: Location

  • 11937 US HIGHWAY 271

    TYLER, TX 757083154

    Phone: (903) 877-7162

    Type: Location

  • 6708, Fleta Court, Tyler, Smith County, Texas, 75703, United States

    TYLER, TX 757034606

    Phone: (325) 203-0522

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 199 Open Payments records for all available years, with a total value of $5,227.

Total Amount is formed as General ($5,227) + Research ($0) + Ownership ($0) = $5,227.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Genentech USA, Inc. ($1,314).

Total Amount

$5,227

General + Research + Ownership

Payments

199

Total payment records

General Amount

$5,227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2018-09-27

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
I20180927002445INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes252140$0
99213Established patient office or other outpatient visit, 20-29 minutes121100$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 75762)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

Can I verify MRS. KELLI KAY MARTIN (FNP-C) with an NPI only?
You can start verification with NPI 1942787528 for MRS. KELLI KAY MARTIN (FNP-C), then check state licensing separately.
Is MRS. KELLI KAY MARTIN (FNP-C) still practicing?
MRS. KELLI KAY MARTIN (FNP-C) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. KELLI KAY MARTIN (FNP-C)?
For research purposes, treat MRS. KELLI KAY MARTIN (FNP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KELLI KAY MARTIN (FNP-C)?
MRS. KELLI KAY MARTIN (FNP-C)'s geographic hint is Flint, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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