BONNIE B MARTIN (CNM, ARNP) – Registered Nurse, NPI 1780602425
Registered Nurse
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Profile Insights
NPPES metrics only — not quality of care.
311 CERTIFIED NURSE MIDWIFE (CNM) in CA
Provider Addresses for BONNIE B MARTIN (CNM, ARNP)
15520 GOODRICH DR NW
GIG HARBOR, WA 983298744
Phone: (253) 238-1736
Type: Mailing
24401 HEALTH CENTER DR., SUITE 300
LAGUNA HILLS, CA 92653
Phone: (949) 770-4115
Fax: (949) 770-3422
Type: Mailing
6401 KIMBALL DR
GIG HARBOR, WA 983351228
Phone: (253) 852-8050
Fax: (253) 627-6576
Type: Mailing
2115, South 56th Street, Tacoma, Pierce County, Washington, 98409, United States
SUITE 301
TACOMA, WA 984096902
Phone: (253) 471-3193
Fax: (253) 471-3141
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: 2024-10-15
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 |
|---|---|---|---|---|
| I20241015001640 | I | Certified Nurse Midwife (Cnm) | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98329)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| Neurology, Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| - | CA |
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