Sonja Renee Collier Martin, PA-C
Individual provider Active NPI Physician Assistant · Little Rock Afb, AR
NPI 1376566182 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1376566182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-410 (AR)
- Practice address
- 1090 Arnold Dr
Little Rock Afb, AR 72099-8199 - Phone
- (501) 987-7319
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthcare Express, LLP
Appello Health and Wellness Clinic LLC
Practice addresses (Care Compare)
11819 Maumelle Blvd
North Little Rock, AR 72113-6567
Phone (501) 771-9355
125 Arkansas Blvd
Texarkana, AR 71854-1963
Phone (870) 772-9355
1554 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 500-1012
2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.12 of 100
- Quality
- 71.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, 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 |
|---|---|---|---|---|
| I20051006000834 | FL | Practitioner - Physician Assistant | 1153346366 | Reassigns benefits to 1 organization |
| I20101015000100 | AR | Practitioner - Physician Assistant | 1153346366 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-410 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Express, LLP | Current |
Accepting new patients | |
| Healthcare Express, LLP | Current |
Accepting new patients | |
| Vitalcare Medical Services PA | Physician Assistant | Current |
Accepting new patients |
| American Current Care of Arkansas, PA | Current |
Accepting new patients | |
| Vitalcare Health Services PC | Physician Assistant | Past |
Accepting new patients |
| Atlantic Family Medical Center of Jacksonville PL | Past | Accepting new patients | |
| Elite Medical Group LLC | Past |
Accepting new patients | |
| First Coast Primary Care Inc | Past | Accepting new patients | |
| Healthcare Express, LLP | Past | Accepting new patients |
Locations
1021 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 518-0018
1554 Country Club Rd
Sherwood, AR 72120
Phone (501) 500-1012
125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355
3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270
3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102973 | FL | |
| Physician Assistant | 363A00000X | PA-410 | AR | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Afb, AR 72099-8199
Mailing address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-7319
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00390663 | Other | FL | RAILROAD MEDICARE |
Other providers in Little Rock Afb, AR
- Angela Brooke Lane
- Jeffry James Larson
- Marybeth S. Lenz
- Alexander Brian Gutierrez Marquez
- Kayleigh A Marsolini
- Tracie Arlene Martin
- John D Mathews
- Courtney McCulley
- Shirley Ann McDaniel
- Tiffani McKee
All providers in Little Rock Afb, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2020. 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.