BAXTER REGIONAL UROLOGY CLINIC
NPI 1003086646
Urology in Mountain Home, AR

Active since March 11, 2008
628 HOSPITAL DR, SUITE 3A, MOUNTAIN HOME, AR 72653(870) 508-6020(870) 508-6025 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2019, Jul 20, 2017 (2 updates tracked since 2017).

About Baxter Regional Urology Clinic NPPES

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

BAXTER REGIONAL UROLOGY CLINIC (NPI 1003086646) is a healthcare organization registered as an urology in Mountain Home, Arkansas and active in the NPI registry since March 2008. The organization lists Debra Henry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003086646
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBAXTER COUNTY REGIONAL HOSPITAL INC.
Location Address628 HOSPITAL DR, SUITE 3AMountain Home, AR 72653-2953
Mailing Address628 Hospital Dr, Suite 3aMountain Home, AR 72653-2953 · (870) 508-6020 · Fax (870) 508-6025
Fax(870) 508-6025
Organization SubpartNo
Authorized OfficialDebra HenryCfo · (870) 508-1033
Enumeration DateMarch 11, 2008
Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration
✔ NPI 1003086646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in AR · E4783
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
628 HOSPITAL DR, Mountain Home, AR 72653

Other Names 1

Doing Business AsBaxter Regional Urology Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baxter Regional Urology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Baxter Regional Urology Clinic, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1902038961
310 BUTTERCUP DR
Mountain Home, AR 72653
(870) 508-7080
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1912142787
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.5 mi
Urology
NPI 1205039807
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1639583834
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1649811415
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1568054930
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.5 mi
Urology
NPI 1144662875
258 S CHICKASAW TRL
Orlando, FL 32825
(407) 303-6865
✔ PECOS✔ Accepts Medicare842 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Baxter County Regional Hospital Inc.'s NPI number?

The NPI number for Baxter County Regional Hospital Inc. is 1003086646. It was assigned to this organization in the NPPES registry on March 11, 2008. The provider is doing business as Baxter Regional Urology Clinic.

Where is Baxter County Regional Hospital Inc. located?

Baxter County Regional Hospital Inc. is located at 628 Hospital Dr Suite 3A, Mountain Home, AR 72653. The listed phone number is (870) 508-6020.

What is Baxter County Regional Hospital Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Baxter County Regional Hospital Inc. enrolled in Medicare?

Yes. Baxter County Regional Hospital Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baxter County Regional Hospital Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Baxter County Regional Hospital Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Urology (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Baxter County Regional Hospital Inc. was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.