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

Madison Martin

Individual provider Gerontology Nurse Practitioner · NPI 1316754658

Madison Martin is a Nurse Practitioner in North Berwick, Maine. Qualified in 2024, 2 years ago. Practices with Impact Health PC, a 79-clinician group. Licensed in Maine.

Years since qualifying
2
Licensed in
ME
In the registry since
2024
Specialties on file
3

Practice location Address checks out

47 Elm St
North Berwick, ME 03906-6792
Phone: (207) 317-1102
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence CNP241659 (ME)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence CNP241659 (ME)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence CNP241659 (ME)

Record details

NPI number1316754658
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2024
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address68 Country Club 2 Rd, Sanford, ME 04073-5128

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 Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare