Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Anna Detka

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669077152

Michelle Anna Detka is a Physician Assistant in Springdale, Arkansas. Qualified in 2022, 4 years ago. Practices with Kapiolani Medical Specialists, a 102-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2020

Practice location Address checks out

2601 Gene George Blvd
Springdale, AR 72762-0845
Phone: (479) 725-6800
Fax: (479) 725-6582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PA-1450 (AR)

Record details

NPI number1669077152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2020
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address2601 Gene George Blvd, Springdale, AR 72762-0845

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kapiolani Medical Specialists — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springdale