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

Mary Martha Ramirez

Individual provider Registered Nurse · NPI 1871189464

Mary Martha Ramirez is a Nurse Practitioner in Tyler, Texas. Qualified in 2022, 4 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1000 E 5th St Ste 400
Tyler, TX 75701-3362
Phone: (903) 596-3500
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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 1084150 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 851442 (TX)

Record details

NPI number1871189464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2020
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address1000 E 5th St Ste 400, Tyler, TX 75701-3362

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tyler