MICHELLE ANNA DETKA
NPI 1669077152
Student in an Organized Health Care Education/Training Program in Springdale, AR

Active since December 02, 2020PECOS EnrolledAccepts Medicare Assignment
73.61/100
CMS Quality Rating
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762(479) 725-6800(479) 725-6582 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Dec 2, 2020 (2 updates tracked since 2020).

About Michelle Anna Detka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE ANNA DETKA (NPI 1669077152) is an individual student in an organized health care education/training program in Springdale, Arkansas, licensed in Arkansas (PA-1450) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669077152
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHELLE ANNA DETKA
Location Address2601 GENE GEORGE BLVDSpringdale, AR 72762-0845
Mailing Address2601 Gene George BlvdSpringdale, AR 72762-0845 · (479) 725-6800 · Fax (479) 725-6582
Fax(479) 725-6582
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 2, 2020
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1669077152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in AR · PA-1450
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2601 GENE GEORGE BLVD, Springdale, AR 72762

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Anna Detka is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072998756
PECOS Enrollment IDI20240416004249
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.04
Promoting Interoperability100
Improvement Activities40
Cost58.02

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pediatric Anesthesiology)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Dietitian, Registered
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Audiologist
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Pediatrics (Adolescent Medicine)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Pediatrics (Pediatric Emergency Medicine)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Detka's NPI number?

The NPI number for Michelle Detka is 1669077152. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Michelle Detka located?

Michelle Detka practices at 2601 Gene George Blvd, Springdale, AR 72762. The listed phone number is (479) 725-6800.

What is Michelle Detka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michelle Detka enrolled in Medicare?

Yes. Michelle Detka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Detka accept?

Health plans from HMSA list Michelle Detka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Detka was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.