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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1013513779

MS. Mary Kathleen Martinez, PMHNP-BC is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2020, 6 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
6
Licensed in
NM
In the registry since
2020
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

4425 Juan Tabo Blvd NE Ste 112
Albuquerque, NM 87111-2684
Phone: (505) 503-6800
Fax: (866) 530-1835
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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 APRN-62222 (NM)

Record details

NPI number1013513779
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 8, 2020
Last updated in NPPESJune 25, 2025
Certification dateJune 2, 2025

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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