Look up the most recent NPI and PECOS records

Nancy Martinez

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1969 W Ogden Ave, Chicago, IL 60612-3765

PECOS Enrollment

Based on the most recent information from CMS, provider Nancy 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 3 days ago.

Profile Details

Provider ID
1609582402
Provider Type
Individual
Full Name
Martinez, Nancy
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/25/2023
Last Updated
6/4/2023

Contact Information

Practice Location

1969 W Ogden Ave, Chicago, IL 60612-3765

(312) 864-6000

Unlisted Fax

Mailing Location

2225 W Lawrence Ave Apt 2, Chicago, IL 60625-1903

(773) 272-2556

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085009353 Illinois

Nancy Martinez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Loehr, Nicole Catherine

Quemeneur, Alexis Caryl

Walsh, Pauline Mary

Odgers, Kate

Walsh, Nicholas Tyler

Reed, Kennedy Jean

Anderson, Brook Marie

Rogowski, Wendy Ann

Latif, Rohiya Hakimi

Burden, Malia Carol