Martha Lynn Brawner, AGACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Fayetteville, AR
NPI 1124666482 · NPPES record last updated Dec 18, 2019
Key facts
- NPI
- 1124666482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 122655 (AR)
- Practice address
- 2882 N Bermuda Ave
Fayetteville, AR 72704-6034 - Phone
- (479) 871-6925
- NPI assigned
- Dec 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SHC Medical Partners of Arkansas LLC
Practice addresses (Care Compare)
200 River Market Ave
Suite 100
Little Rock, AR 72201-1762
Phone (501) 267-9870
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210607000359 | AR | Practitioner - Nurse Practitioner | 5698175081 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icp Arkansas Aco Billing LLC | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current |
Accepting new patients | |
| Integrated Care Professionals, LLC | Current |
Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current |
Accepting new patients | |
| SHC Medical Partners of Arkansas, LLC | Current |
Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current |
Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients |
Locations
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099
200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 122655 | AR | Yes |
Addresses
Primary practice location
2882 N Bermuda Ave
Fayetteville, AR 72704-6034
Mailing address
2882 N Bermuda Ave
Fayetteville, AR 72704-6034
Phone (479) 871-6925
Other providers in Fayetteville, AR
- Lauryn Brannon
- Sandy Michele Branson
- James J Brantley
- Mary Alison Brashears
- Lynsay Leighanne Brautnick
- Jeremy Ryan Braziel
- Spencer Brazil
- Eric R Bready
- Anna Stilinovic Breard
- Brandon Breard
All providers in Fayetteville, AR · Acute Care Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.