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

Individual provider Acute Care Nurse Practitioner · NPI 1275060907

Mary Martin, AGACNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2012, 14 years ago. Practices with Mercy ACO Clinical Services Inc, a 138-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2017
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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (636) 237-4132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2017008673 (MO)

Record details

NPI number1275060907
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMay 12, 2017
Last updated in NPPESMay 12, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mercy Aco Clinical Services Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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