Individual provider Active NPI

Martha Cheatwood, ARNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1528001047
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0992829-NP Issued in CO
Practice address
2321 E 3Rd St
Tulsa, OK 74104-1831
Phone
(918) 622-0641
Fax
(918) 622-4814
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0040907 OK
Nurse Practitioner 363L00000X APN.0992829-NP CO Primary

Addresses

Primary practice location

2321 E 3Rd St
Tulsa, OK 74104-1831

Mailing address

2321 E 3Rd St
Tulsa, OK 74104-1831
Phone (918) 622-0641

Other identifiers 1

IdentifierTypeStateIssuer
200075010AMedicaidOK

Other names 1

  • Martha Myrter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180221002310 CO Practitioner - Nurse Practitioner 3678599669 Reassigns benefits to 2 organizations

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
Trinidad Area Health AssociationGroup PAC ID 2769394055, shared by 2 NPIs, 28 clinicians

Practice addresses (Care Compare)

400 Benedicta Ave
Suite a
Trinidad, CO 81082-2089
Phone (719) 846-2206

Hospital & facility affiliations

  • Mt San Rafael Hospital Hospital, Trinidad, CO, CCN 061321

Merit-based Incentive Payment System (MIPS)

Final score
84.05 of 100Reported as group
Quality
84.23
Promoting interoperability
100
Improvement activities
40
Cost
51.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0992829-NPCOMDNurse Practitioner
R0040907OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association CurrentSince Jan 13, 2018 Accepting new patients
Trinidad Area Health Association CurrentSince Dec 1, 2025 Accepting new patients
Trinidad Area Health Association CurrentSince Jan 13, 2018 Accepting new patients

Locations

328 S Bonaventure Ave
Trinidad, CO 81082
Phone (719) 846-3597

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

Interoperability endpoints

  • Direct secure messaging: martha.cheatwood.1@5071.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1528001047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E 3RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741041831",
            "telephone_number": "918-622-0641",
            "fax_number": "918-622-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E 3RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741041831",
            "telephone_number": "918-622-0641",
            "fax_number": "918-622-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATWOOD",
        "first_name": "MARTHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0040907",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0992829-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200075010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "MYRTER",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.