Nicole Martin, PA-C
NPI 1114540564ActiveIndividual· Physician Assistant· Prescott, AZ
Physician Assistant (PA-C) with County of Yavapai, practicing in Prescott, Arizona. Mostly services rather than prescriptions: Medicare paid $52,220 for 81 patients in 2024, with only 30 Part D claims.
Overview
| NPI | 1114540564 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 20, 2020 |
| Last updated in NPPES | Sep 25, 2025 |
| Certified by provider | Sep 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 7848 | AZ |
| Physician Assistant, Medical | 363AM0700X | 7848 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 19,267 across 40 procedure codes |
| Paid by Medicare | $52,220 |
Part D prescriptions in 2024
| Prescriptions (claims) | 30 · 31 30-day fills |
|---|---|
| Total drug cost | $724.12 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- County of YavapaiPrescott, AZ · 19 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 50 physician assistants in Prescott · All physician assistants in Arizona