Active NPI
Martha G Berry, APN
- Family Nurse Practitioner
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A01874
- Practice address
- 2508 Crestwood Rd
North Little Rock, AR 72116-7623 - Phone
- (501) 758-2298
- Fax
- (501) 758-7877
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A01874 | AR | Primary |
| Registered Nurse | 163W00000X | R33544 | AR |
Addresses
Primary practice location
2508 Crestwood Rd
North Little Rock, AR 72116-7623
Mailing address
11001 Executive Center Dr
Little Rock, AR 72211-4316
Phone (501) 758-2298
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492829ZNUD | Other | AR | MEDICARE |
| 189490758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2508 Crestwood Rd
North Little Rock, AR 72116-7623
Phone (501) 758-2294
Hospital & facility affiliations
- Baptist Health Medical Center-Little Rock
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R33544 | AR | MD | Registered Nurse |
| A01874 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Cardiology | Past | Accepting new patients | |
| Cardiovascular Specialty Associates of North Texas, P.a. | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
2508 Crestwood Rd
North Little Rock, AR 72116
Phone (501) 758-2294
2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800
Interoperability endpoints
- mberry4548@direct.baptist-healthar.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1588762389
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1003862848
-
- Family Medicine Physician
- White Hall, AR
- NPI 1316286149
-
- Vascular Surgery Physician
- Rockwall, TX
- NPI 1780851915
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1073569828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114316",
"telephone_number": "501-758-2298",
"fax_number": "501-758-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 CRESTWOOD RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-758-2298",
"fax_number": "501-758-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "MARTHA",
"middle_name": "G",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A01874",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R33544",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "492829ZNUD",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189490758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.