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CONCETTA WHITLEY MARTIN PA
NPI 1821525916
Physician Assistant - Medical in Dardanelle, AR

Active since May 19, 2017PECOS EnrolledAccepts Medicare Assignment
1652 STATE HIGHWAY 22 W, DARDANELLE, AR 72834(479) 229-8000(479) 477-3925 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 19, 2017 (2 updates tracked since 2017).

About Concetta Whitley Martin Pa NPPES

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

CONCETTA WHITLEY MARTIN PA (NPI 1821525916) is an individual medical provider in Dardanelle, Arkansas, licensed in Arkansas (PT2017-031) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821525916
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCONCETTA WHITLEY MARTINCredential: PA
Location Address1652 STATE HIGHWAY 22 WDardanelle, AR 72834-2909
Mailing Address1652 State Highway 22 WDardanelle, AR 72834-2909 · (479) 229-8000 · Fax (479) 477-3925
Phone(479) 229-8000
Fax(479) 477-3925
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1821525916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AR · PT2017-031
1652 STATE HIGHWAY 22 W, Dardanelle, AR 72834
Open in Google Maps ↗

Other Identifiers 1

OtherPT2017-031AR · Arkansas State Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Concetta Whitley Martin Pa 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 ID6002186400
PECOS Enrollment IDI20170718001232
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$185.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC
Clinic/Center (Rural Health)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Yell County (318) 629-5321
THE KIRKLAND FAMILY MEDICAL CENTER, PA
Preferred Provider Organization
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Yell County (479) 229-8000
ALLAN K KIRKLAND MD
Family Medicine
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Yell County (479) 229-8000
TANNA SHOCKLEY APRN
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Yell County (479) 229-8000
ANDREA LUKER APRN, FNP-BC, FNP-C
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Yell County (479) 229-8000
CHRISTA BARTLETT
Physician Assistant (Medical)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Yell County (479) 229-8000
SAMNIENG M HERNANDEZ APN
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Yell County (479) 229-8000
SUSAN REBEKAH STUCK
Physician Assistant
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Yell County (479) 229-8000

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 Concetta Martin's NPI number?

The NPI number for Concetta Martin is 1821525916. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Concetta Martin located?

Concetta Martin practices at 1652 State Highway 22 W, Dardanelle, AR 72834. The listed phone number is (479) 229-8000.

What is Concetta Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Concetta Martin enrolled in Medicare?

Yes. Concetta Martin 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 Concetta Martin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Concetta Martin 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 Concetta Martin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.