MRS. NATASHA MARIE WANTULOK (MD) – Family Medicine Physician, NPI 1457747297

MRS. NATASHA MARIE WANTULOK (MD) is a healthcare provider. based in Pocahontas, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-10809 (AR). The NPI Number for MRS. NATASHA MARIE WANTULOK (MD) is 1457747297

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NATASHA MARIE WANTULOK (MD)
NPI
1457747297
Phone
(870) 892-4467
Address
2901 MEDICAL CENTER DR
Enumeration Date
8 April 2015
Last Update Date
22 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8708924467
Graduation Year
2015 (11 years ago)
PAC ID
2365758653
Group Practice PAC ID
4688651029
Professional Enrollment ID
I20180718002218
Address ID
AR724559402PO2901XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for MRS. NATASHA MARIE WANTULOK (MD)

  • 2901 MEDICAL CENTER DR

    POCAHONTAS, AR 724559438

    Phone: (870) 892-4467

    Fax: (870) 892-4407

    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)

CMS reports 85 Open Payments records for all available years, with a total value of $1,589.

Total Amount is formed as General ($1,589) + Research ($0) + Ownership ($0) = $1,589.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($355).

Total Amount

$1,589

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-07-18

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
I20180718002218IFamily PracticeARTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes901396$0
J1100Injection, dexamethasone sodium phosphate, 1 mg67780$0
36415Insertion of needle into vein for collection of blood sample659343$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count511322$0
99213Established patient office or other outpatient visit, 20-29 minutes458330$0
View full utilization report →

Insurance plans in this area (ZIP 72455)

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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: 4688651029View full group profile

Reviews

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Frequently asked questions

Is MRS. NATASHA MARIE WANTULOK (MD) listed with a National Provider Identifier?
Yes — MRS. NATASHA MARIE WANTULOK (MD) has NPI 1457747297 on file in the registry.
Would MRS. NATASHA MARIE WANTULOK (MD) appear as active to a payer?
You can treat MRS. NATASHA MARIE WANTULOK (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. NATASHA MARIE WANTULOK (MD)'s focus?
For MRS. NATASHA MARIE WANTULOK (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. NATASHA MARIE WANTULOK (MD)?
Travel planning: use Pocahontas, Arkansas as the reference point for MRS. NATASHA MARIE WANTULOK (MD), then confirm.
Does MRS. NATASHA MARIE WANTULOK (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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