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

Mr. Jason Martin, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639507551

Mr. Jason Martin, PMHNP-BC is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2013, 13 years ago. Practices with Anchorage Community Mental Health Services Inc, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Montana.

Years since qualifying
13
Licensed in
ID, MT
In the registry since
2013
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

13734 S 1st E
Idaho Falls, ID 83404-7852
Phone: (208) 360-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP 1389A (ID)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NUR-RN-LIC-39018 (MT)

Record details

NPI number1639507551
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 31, 2013
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Anchorage Community Mental Health Services Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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