IndividualActive
Jeffrey Martin, CRNA
NPI 1639180409 · Certified Registered Nurse Anesthetist · Palatka, FL
Provider details
- NPI number
- 1639180409
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- R0084629 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
611 Zeagler Dr
Palatka, FL 32177-3810
Phone: (386) 328-5711
Street-level locationGet directions
Mailing address
Rr 1 Box 475
Idabel, OK 74745-9766
Additional practice locations (1)
- 1301 Lincoln RdIdabel, OK 74745-7300Phone: (580) 286-7623Fax: (580) 208-3199
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2019-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.