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

MS. Keri Martinez, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1114208139

MS. Keri Martinez, NURSEPRACTITIONER is a Nurse Practitioner in Stony Brook, New York. Qualified in 2024, 2 years ago. Practices with Stony Brook Anaesthesiology University Faculty Practice Corporation, a 87-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

100 Nicolls Rd
Stony Brook, NY 11794-2107
Phone: (631) 444-2078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F311893 (NY)

Record details

NPI number1114208139
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 3, 2011
Last updated in NPPESOctober 1, 2024
Certification dateSeptember 26, 2024

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 Stony Brook Anaesthesiology University Faculty Practice Corporation — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook