Active NPI
Martha Lynn Brawner, AGACNP-BC
- Acute Care Nurse Practitioner
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 122655
- Practice address
- 2882 N Bermuda Ave
Fayetteville, AR 72704-6034 - Phone
- (479) 871-6925
- NPI assigned
- Dec 18, 2019
- Last updated
- Dec 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 122655 | AR | Primary |
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
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 River Market Ave
Suite 100
Little Rock, AR 72201-1762
Phone (501) 267-9870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122655 | AR | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Care Professionals, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| Icp Arkansas Aco Billing LLC | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| SHC Medical Partners of Arkansas, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | 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 100
Little Rock, AR 72201
Phone (501) 267-9870
200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Little Rock, AR
- NPI 1821830795
-
- Nurse Practitioner
- Little Rock, AR
- NPI 1861205460
-
- Nurse Practitioner
- Little Rock, AR
- NPI 1669285367
-
- Clinical Nurse Specialist
- Maumelle, AR
- NPI 1679157838
-
- Clinical Nurse Specialist
- Little Rock, AR
- NPI 1164762662
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1528871126
-
- Nurse Practitioner
- Ridgeland, MS
- NPI 1992518591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1124666482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2882 N BERMUDA AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046034",
"telephone_number": "479-871-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2882 N BERMUDA AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046034",
"telephone_number": "479-871-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAWNER",
"first_name": "MARTHA",
"middle_name": "LYNN",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AR",
"license": "122655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.