MRS. KELLI KAY MARTIN (FNP-C) – Nurse Practitioner, NPI 1942787528
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $1,314 |
| ABBVIE INC. | $1,233 |
| Gilead Sciences, Inc. | $538 |
| Janssen Biotech, Inc. | $269 |
| Janssen Scientific Affairs, LLC | $187 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180927002445 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 140 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 100 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 75762)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
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