Active NPI
Heron B Martin, APRN
- Family Nurse Practitioner
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A004337
- Practice address
- 5203 Willow Creek Dr Ste B
Springdale, AR 72762-0876 - Phone
- (479) 301-8790
- Fax
- (855) 632-2740
- NPI assigned
- Mar 4, 2015
- Last updated
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A004337 | AR | Primary |
Addresses
Primary practice location
5203 Willow Creek Dr Ste B
Springdale, AR 72762-0876
Mailing address
5203 Willow Creek Dr Ste B
Springdale, AR 72762-0876
Phone (479) 301-8790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215794599 | Other | NPI |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5203 Willow Creek Dr
Suite B
Springdale, AR 72762-0876
Phone (479) 283-9958
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004337 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siloam Springs Clinic Company LLC | Family | Current | Accepting new patients |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Clear Creek Wellness | Family | Current | Accepting new patients |
| Totem Health PLLC | Current | Accepting new patients | |
| Northwest Benton County Physician Services LLC | Current | Accepting new patients |
Locations
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
350 N Razorback Rd
Fayetteville, AR 72701
Phone (479) 575-3334
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
2000 S 42nd St
Ste 100
Rogers, AR 72758
Phone (479) 273-9173
3721 Highway 412 E
#B
Siloam Springs, AR 72761
Phone (479) 215-3070
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
2158 Butterfield Coach Rd
Springdale, AR 72764
Phone (479) 463-7000
3057 Springdale Ave
Springdale, AR 72762
Phone (479) 751-2522
5203 Willow Creek Dr
Ste B
Springdale, AR 72762
Phone (479) 283-9958
5320 W Sunset Ave
Ste 157
Springdale, AR 72762
Phone (479) 966-7331
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
Organizations & group practices 6
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.
-
- Family Nurse Practitioner
- Springdale, AR
- NPI 1215794599
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
-
- Internal Medicine Physician
- Siloam Springs, AR
- NPI 1013155431
Family
-
dba Advanced Primary Care of the Ozarks
- Family Medicine Physician
- Springdale, AR
- NPI 1770100752
-
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1205137536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1932591617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5203 WILLOW CREEK DR STE B",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620876",
"telephone_number": "479-301-8790",
"fax_number": "855-632-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5203 WILLOW CREEK DR STE B",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620876",
"telephone_number": "479-301-8790",
"fax_number": "855-632-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "HERON",
"middle_name": "B",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-04",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A004337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1215794599",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.