Look up the most recent NPI and PECOS records

Kristina Grevyte Martins

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778

PECOS Enrollment

This provider is enrolled in PECOS as KRISTINA MARTINS.

Based on the most recent information from CMS, provider Kristina Grevyte Martins 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 3 days ago.

Profile Details

Provider ID
1396440079
Provider Type
Individual
Full Name
Martins, Kristina Grevyte
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/3/2023
Last Updated
5/14/2024

Contact Information

Practice Location

2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778

(702) 732-2438

(702) 737-5043

Mailing Location

2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778

(702) 732-2438

(702) 737-5043

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 863844 Nevada
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 863844 Nevada

Provider Identifiers

ID	Description	Issuer
ID 1396440079	Description Medicaid	Issuer Unlisted Nevada

Kristina Grevyte Martins

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Sarabia, Genus

Relucio, Ruth Alma Vanessa Lim