Michelle Martin, - Medicare Nurse Practitioner in Fairmont, WV

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Michelle Martin, is a medicare enrolled "Nurse Practitioner" in Fairmont, West Virginia. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grandw Inc and her current practice location is 207 Fairmont Ave, Fairmont, West Virginia. You can reach out to her office (for appointments etc.) via phone at (681) 404-6869.

Michelle Martin is licensed to practice in West Virginia (license number 113712) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750017604.

Contact Information

Michelle Martin,
207 Fairmont Ave,
Fairmont, WV 26554-2710
(681) 404-6869
(681) 404-6871

Map and Direction




Provider's Profile

Full NameMichelle Martin
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location207 Fairmont Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle Martin graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1750017604
  • Provider Enumeration Date: 07/25/2022
  • Last Update Date: 11/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6507203197
  • Enrollment ID: I20240319000431

Medical Identifiers

Medical identifiers for Michelle Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750017604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 113712 (West Virginia)Primary
363LF0000XNurse Practitioner - Family 113712 (West Virginia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grandw Inc973932492262

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Martin allows following entities to bill medicare on her behalf.
Entity NameGr&w Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407192024
PECOS PAC ID: 9739324922
Enrollment ID: O20130315000456

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Martin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michelle Martin,
207 Fairmont Ave,
Fairmont, WV 26554-2710

Ph: (681) 404-6869		Michelle Martin,
207 Fairmont Ave,
Fairmont, WV 26554-2710

Ph: (681) 404-6869

Reviews and Comments


Nurse Practitioner Nurses in Fairmont, WV

Kali Campbell, FNP-C
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Kathryn Nicole Preast, FNP-BC
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Sariah Dale Waldron,
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Therese Danielle Prosser, FNP-C
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Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    
Chelsy N Harmer, NP-C
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Phone: 304-366-6100    
Amber Sinclaire Weaver, FNP-BC
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Practice Location: 1044 Hite Cir, Fairmont, WV 26554
Phone: 304-476-8497    Fax: 772-238-2080
Tressa Bonasso,
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Practice Location: 23 Tresara Dr, Fairmont, WV 26554
Phone: 304-694-5898    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.