Individual provider

Nicole Martin, CRNP

Family Nurse Practitioner Adult Medicine Physician Medicare enrolled

Nicole Martin, CRNP is a Family Nurse Practitioner in Jermyn, PA, registered under NPI 1972068930. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 5 S WASHINGTON AVE, Jermyn, PA 18433. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5 S WASHINGTON AVE, Jermyn, PA 18433 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
APRN11017188 FL Family Nurse Practitioner primary
SP019951 PA Adult Medicine Physician

Licences are recorded in 2 states: FL, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
8729311766

Enrolled in Medicare 5 times, across 5 states:

StateEnrollment IDProvider type
Pennsylvania I20190606002414 Practitioner - Nurse Practitioner
Florida I20220411001314 Practitioner - Nurse Practitioner
Tennessee I20231031001253 Practitioner - Nurse Practitioner
Connecticut I20240202002442 Practitioner - Nurse Practitioner
Washington I20240814002733 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 5 separate enrolment records across 5 states (PA, FL, TN, CT, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Pennsylvania. The practice address on file is in Jermyn, PA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida
Licence
APRN11017188
Specialty
Family Nurse Practitioner
Verify with the FL board →
PA Pennsylvania practice address
Licence
SP019951
Specialty
Adult Medicine Physician
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family APRN11017188 FL primary
207QA0505X Adult Medicine Physician Adult Medicine SP019951 PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1972068930 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 4, 2019
Last updatedAug 7, 2024
StatusActive
Sole proprietorNo
CredentialCRNP
Practice address 5 S WASHINGTON AVE
Jermyn, PA 18433
(570) 417-8407
Mailing address 311 OAK ST
Duryea, PA 18642
This record was updated on Aug 7, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1972068930 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 7 2 0 6 8 9 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 5 2 0 6 7 9 6

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1972068930?
NPI 1972068930 is the National Provider Identifier assigned to Nicole Martin, CRNP in Jermyn, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Nicole Martin, CRNP?
The phone number on file with NPPES is (570) 417-8407, last updated Aug 7, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nicole Martin, CRNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1972068930 a valid number?
Yes. 1972068930 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.