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Jennifer Melissa Martinez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9320 State Road 54, Trinity, FL 34655-1808

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER MARTINEZ.

Based on the most recent information from CMS, provider Jennifer Melissa Martinez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:24 AM.

Profile Details

Provider ID
1306605407
Provider Type
Individual
Full Name
Martinez, Jennifer Melissa
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
3/19/2024
Last Updated
2/23/2026

Contact Information

Practice Location

9320 State Road 54, Trinity, FL 34655-1808

(727) 842-8411

(877) 917-2336

Mailing Location

PO Box 10222, Atlanta, GA 30368-2222

(239) 274-8200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11031758 Florida

Provider Identifiers

ID	Description	Issuer
ID 122115700	Description Medicaid	Issuer Unlisted Florida

Jennifer Melissa Martinez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Meier-Forbes, Betty Lou

Singh, Yogita

Himonetos, Paraskevi Georgie

Gummoe, Shannon Christie

Oberstein-Wright, Keilah

Ulseth, Jennifer

Ryder, Debora Lynn

White, Amber N

Mccarthy, Emily

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