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

Mrs. Katie Ann Martin, FNP-C

Individual provider Nurse Practitioner · NPI 1083291827

Mrs. Katie Ann Martin, FNP-C is a Nurse Practitioner in Longmont, Colorado. Qualified in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone: (720) 718-3900
Fax: (720) 718-3902
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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 APN.0995647-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence APN.0995647-NP (CO)

Record details

NPI number1083291827
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateJuly 13, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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