COUNTRY DRIVE INN MEDICAL PRACTICE
NPI 1003524430
Nurse Practitioner - Family in Mount Perry, OH
About Country Drive Inn Medical Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY DRIVE INN MEDICAL PRACTICE (NPI 1003524430) is a healthcare organization registered as a family in Mount Perry, Ohio and active in the NPI registry since November 2022. The organization lists Arica Reeves, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Country Drive Inn Medical Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Country Drive Inn Medical Practice, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Country Drive Inn Medical Practice's NPI number?
The NPI number for Country Drive Inn Medical Practice is 1003524430. It was assigned to this organization in the NPPES registry on November 15, 2022.
Where is Country Drive Inn Medical Practice located?
Country Drive Inn Medical Practice is located at 10825 Township Road 49, Mount Perry, OH 43760. The listed phone number is (740) 221-6550.
What is Country Drive Inn Medical Practice's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Country Drive Inn Medical Practice enrolled in Medicare?
Yes. Country Drive Inn Medical Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Country Drive Inn Medical Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Country Drive Inn Medical Practice, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Country Drive Inn Medical Practice accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Country Drive Inn Medical Practice 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 Country Drive Inn Medical Practice was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Country Drive Inn Medical Practice · NPI 1003524430
Family organization in Mount Perry, Ohio. Organization record, active in the CMS NPPES registry since November 15, 2022.
## Identity
- **NPI:** 1003524430 (Entity type: Organization)
- **Enumerated:** November 15, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Arica Reeves, OWNER/PROVIDER
## Practice location
- **Address:** 10825 TOWNSHIP ROAD 49, Mount Perry, OH 43760-9779
- **Phone:** (740) 221-6550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2025
- **Other identifiers:** Medicaid 0053044 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1003524430) · Data from the CMS NPPES public registry.