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

Katelyn Ellen Martin

Individual provider Neurology Physician · NPI 1154281194

Katelyn Ellen Martin is a Nurse Practitioner in Lewiston, Maine. Qualified in 2025, 1 year ago. Practices with St Marys Regional Medical Center, a 194-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
1
Licensed in
ME
In the registry since
2025

Practice location Address checks out

93 Campus Ave
Lewiston, ME 04240-6030
Phone: (207) 777-4455
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence CNP251771 (ME)

Record details

NPI number1154281194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address93 Campus Ave, Lewiston, ME 04240-6030

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 St Marys Regional Medical Center — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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