MARTHA LYNN BRAWNER (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1124666482

MARTHA LYNN BRAWNER (AGACNP-BC) is a healthcare provider. based in Fayetteville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 122655 (AR). The NPI Number for MARTHA LYNN BRAWNER (AGACNP-BC) is 1124666482

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA LYNN BRAWNER (AGACNP-BC)
NPI
1124666482
Phone
(479) 871-6925
Address
2882 N BERMUDA AVE
Enumeration Date
18 December 2019
Last Update Date
18 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5014920099
Graduation Year
2019 (7 years ago)
PAC ID
5698175081
Group Practice PAC ID
8820497886
Professional Enrollment ID
I20210607000359
Address ID
AR722011767LI200XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MARTHA LYNN BRAWNER (AGACNP-BC)

  • 2882 N BERMUDA AVE

    FAYETTEVILLE, AR 727046034

    Phone: (479) 871-6925

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210607000359INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes54073$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes28162$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2615$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi2219$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 72704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820497886View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerAR
Nurse PractitionerTX
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Does MARTHA LYNN BRAWNER (AGACNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARTHA LYNN BRAWNER (AGACNP-BC) uses 1124666482.
Can I rely on MARTHA LYNN BRAWNER (AGACNP-BC) being an active provider?
As of the registry snapshot, MARTHA LYNN BRAWNER (AGACNP-BC) is marked active.
What is MARTHA LYNN BRAWNER (AGACNP-BC) best known for clinically?
Directory data describes MARTHA LYNN BRAWNER (AGACNP-BC) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MARTHA LYNN BRAWNER (AGACNP-BC) list a practice location?
Patients near Fayetteville, Arkansas may find MARTHA LYNN BRAWNER (AGACNP-BC) in results; validate coverage separately.
Is the information about MARTHA LYNN BRAWNER (AGACNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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