SARAH MARTINA — NPI 1629623731 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health in CHARLOTTESVILLE, VA)

CMS-1500 Box 24J / 33a • NPI

1629623731

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LW0102X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health

Box 32 Service Location & ZIP+4

1221 LEE ST, CHARLOTTESVILLE, VA, 22908-0001

✓ 9-Digit EDI 837 ZIP+4 (22908-0001)

Practice Phone & Referral Fax

(434) 924-1955

Fax: (434) 982-1841

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629623731 (SARAH MARTINA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629623731` (NPI-1 Individual Practitioner)
Provider / Legal Name	SARAH MARTINA
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health NUCC Code: `363LW0102X` (Nurse Practitioner, Women's Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1221 LEE ST, CHARLOTTESVILLE, VA, 22908-0001
Practice Telephone / Fax	Tel: (434) 924-1955 \| Fax: (434) 982-1841
Administrative Mailing Address	PO BOX 9007, CHARLOTTESVILLE, VA, 22906-9007
Enumeration & Last Sync	Enumerated: 2019-08-06 \| CMS Record Updated: 2023-08-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1221 LEE ST, CHARLOTTESVILLE, VA, 22908-0001

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Plain-English Taxonomy & CMS Crosswalk (363LW0102X)

What Does Taxonomy Code 363LW0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LW0102X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Women's Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SARAH MARTINA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LW0102X` — Nurse Practitioner, Women's Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health	State: VA \| License: `0024177301` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SARAH MARTINA (NPI #1629623731)