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

Mabel Martin Martinez, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1164315461

Mabel Martin Martinez, APRN-CNP is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2024, 2 years ago. Practices with 360Care Services of Kentucky LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2025
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Practice location Address checks out

4350 Brownsboro Rd Ste 200
Louisville, KY 40207-1681
Phone: (502) 244-2420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4038644 (KY)

Record details

NPI number1164315461
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedJune 3, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice 360care Services Of Kentucky Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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