Individual provider Active NPI

Martega Marie Walton, NP-C

  • Nurse Practitioner
  • Texarkana, AR
National Provider Identifier
1104425586
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
213269 Issued in AR
Practice address
1307 Trinity Blvd
Texarkana, AR 71854-8310
Phone
(870) 773-6467
Fax
(870) 216-0061
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 213269 AR Primary

Addresses

Primary practice location

1307 Trinity Blvd
Texarkana, AR 71854-8310

Mailing address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000

Other practice location 1

1357 W Collin Raye Dr
DE Queen, AR 71832-2946
Phone (870) 642-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201102001367 AR Practitioner - Nurse Practitioner 2961812029 Reassigns benefits to 3 organizations
I20210406001091 TX Practitioner - Nurse Practitioner 2961812029

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

Camden, AR 71701
Phone (972) 833-4573

370 W Main St
Memorial Medical Clinic
Ashdown, AR 71822-2750
Phone (870) 898-4100

Hospital & facility affiliations

  • Elite Home Health Home health agency, Nashville, AR, CCN 047138
  • Little River Memorial Hospital Home Health Home health agency, Ashdown, AR, CCN 047139
  • Centerwell Home Health Home health agency, Texarkana, AR, CCN 047838
  • Little River Memorial Hospital Hospital, Ashdown, AR, CCN 041320
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
213269ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pallicare, Inc CurrentSince Jan 9, 2025 Accepting new patients
Little River Medical Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Little River Medical Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Little River Medical Center, Inc. Past Accepting new patients

Locations

370 W Main St
Ashdown, AR 71822
Phone (870) 898-4100

Interoperability endpoints

  • Direct secure messaging: martega.walton.1@14285.direct.athenahealth.com
  • Direct secure messaging: martega.walton.p1@direct.collom-carney.nextgenshare.com
  • Direct secure messaging: martega.walton.1@26850.direct.athenahealth.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1104425586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 TRINITY BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718548310",
            "telephone_number": "870-773-6467",
            "fax_number": "870-216-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1357 W Collin Raye Dr",
            "address_purpose": "LOCATION",
            "city": "DE Queen",
            "state": "AR",
            "postal_code": "718322946",
            "country_code": "US",
            "telephone_number": "870-642-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "MARTEGA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "213269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.