Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043917511 Individual Practitioner Female Practitioner

Jina K Martin

Nurse Practitioner • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jina Martin is a certified Nurse Practitioner practicing in Providence, RI. With approximately 2 years of clinical experience since completing medical education in 2024, Jina Martin delivers high-quality medical care to the local community at 164 SUMMIT AVE.

Jina Martin is affiliated with Lifespan Physician Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave

Providence, RI 029062853

Telephone 4017934102
Fax 4017934049
Associated Practice Facility / Clinic
🏢 The Miriam Hospital Facility NPI 1487649430

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Providence, RI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
176 Specialists

Practicing in Providence, RI (397 Statewide)

Telehealth Adoption Rate
15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martin (2 Years) 2 Yrs
Providence Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI APRN04553

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

164 Summit Ave, Providence, RI 029062853

Phone: 4017934102

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Krissy Nguyen-Stone , NP

Nurse Practitioner - Adult Health

NPI 1124457775

Nurse Practitioner

Ida White , PA

Physician Assistant - Medical

NPI 1154882538

Physician Assistant

Heidi Jimenez

Nurse Practitioner - Acute Care

NPI 1356847172
Linda Dangol

Nurse Practitioner - Family

NPI 1376278531
Sharon Ochanda , NP

Nurse Practitioner

NPI 1477428613

Nurse Practitioner

Aleko Kimbouris , PA-C

Physician Assistant - Surgical

NPI 1518195593

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 29, 2025

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062853 (Tel: 4017934102)

📍
Updated Business Mailing Address April 29, 2025

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062853 (Tel: 4017934102)

NPI Profile Active February 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2023

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445701)

📍
Updated Business Mailing Address February 14, 2023

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445701)

👤
Provider Name / Credentials Updated February 14, 2023

Recorded as JINA MARTIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 14, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043917511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2023
Last Update: April 29, 2025
Sole Proprietor: No

Mailing Address

164 Summit Ave

Providence, RI 029062853

Phone: 4017934102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.