Nichole Martin, APRN in Draper, UT - Medicare Nurse Practitioner

Nichole Martin, APRN is a medicare enrolled "Nurse Practitioner - Family" in Draper, Utah. Her current practice location is 13894 S Bangerter Pkwy Ste 200, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (385) 454-5027.

Nichole Martin is licensed to practice in Nevada (license number 880269) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851122352.

Contact Information

	Nichole Martin, APRN
	13894 S Bangerter Pkwy Ste 200, Draper, UT 84020-5320
	(385) 454-5027
	Not Available

Map and Direction

Provider's Profile

Full Name	Nichole Martin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	13894 S Bangerter Pkwy Ste 200, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851122352
Provider Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0941731939
Enrollment ID: I20241001003441

Medical Identifiers

Medical identifiers for Nichole Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851122352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	880269 (Nevada)	Primary

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. Nichole Martin allows following entities to bill medicare on her behalf.

Entity Name	Gad 3 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538997119 PECOS PAC ID: 2062943038 Enrollment ID: O20241001002546

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. Nichole 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 Address	Practice Location Address
Nichole Martin, APRN 2175 Redhead Dr, Sparks, NV 89441-7873 Ph: (775) 233-4015	Nichole Martin, APRN 13894 S Bangerter Pkwy Ste 200, Draper, UT 84020-5320 Ph: (385) 454-5027

Reviews and Comments

Nurse Practitioner Nurses in Draper, UT

Catherine Schultz, DNP, MN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 E 12300 S Ste R400, Draper, UT 84020 Phone: 385-287-1877
Rebecca Dawn Roy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14658 S Bangerter Pkwy Ste 200, Draper, UT 84020 Phone: 801-839-5557 Fax: 801-719-2281
Angela Rosa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 656 E 11400 S Ste N, Draper, UT 84020 Phone: 801-849-1604
Mckay Norton, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E Ste C, Draper, UT 84020 Phone: 303-385-4140
Lehai Lily Austin, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2050
Dr. Brynn Jenkins Jorgensen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38 W 13775 S Ste 110, Draper, UT 84020 Phone: 801-980-3039 Fax: 385-746-4555
Paige Hess, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12276 S 1300 E, Draper, UT 84020 Phone: 801-572-7835

Nichole Martin, APRN - Medicare Nurse Practitioner in Draper, UT