Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Dean Martinelli, AGCNS-BC

Individual provider Gerontology Clinical Nurse Specialist · NPI 1831900166

Jeremy Dean Martinelli, AGCNS-BC is a Nurse Practitioner in Bastrop, Texas. Qualified in 2025, 1 year ago. Practices with Mark Malone MD PA, a 101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1106 College St Ste C
Bastrop, TX 78602-3948
Phone: (512) 244-4272
Fax: (512) 244-2895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 S Mays St Ste 201, Round Rock, TX 78664-7580 — (512) 244-4272

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence 1123440 (TX)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 1123440 (TX)

Record details

NPI number1831900166
Entity typeIndividual (Type 1)
GenderMale
Credentials AGCNS-BC
Sole proprietorNo
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mark Malone Md Pa — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount