HOPE MEDICAL CLINIC INC
NPI 1013245471
Clinic/Center - Rural Health in Clinton, AR

Active since November 24, 2009CLIA 04D2003978 · Waiver
145 SHAKE RAG RD, CLINTON, AR 72031(501) 745-7161(501) 745-8714 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hope Medical Clinic Inc NPPES

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

HOPE MEDICAL CLINIC INC (NPI 1013245471) is a healthcare organization registered as a rural health in Clinton, Arkansas and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Stefanie Shaver, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013245471
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHOPE MEDICAL CLINIC INC
Location Address145 SHAKE RAG RDClinton, AR 72031-6682
Mailing Address145 Shake Rag RdClinton, AR 72031-6682 · (501) 745-7161 · Fax (501) 745-8714
Fax(501) 745-8714
Organization SubpartNo
Authorized OfficialStefanie ShaverOffice Manager · (501) 745-7161
Enumeration DateNovember 24, 2009
Last NPPES UpdateSeptember 22, 2014
✔ NPI 1013245471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
145 SHAKE RAG RD, Clinton, AR 72031

Other Identifiers 3

Medicare PIN5G436AR
Medicaid185295729AR
Medicare OSCAR/certification043832AR

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)

Hope Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Hope Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1548464936
145 SHAKERAG ROAD
Clinton, AR 72031
(501) 745-7161
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346044559
145 SHAKE RAG RD
Clinton, AR 72031
(501) 858-4488
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174524086
145 SHAKE RAG RD
Clinton, AR 72031
(501) 745-7161
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871808048
145 SHAKE RAG RD
Clinton, AR 72031
(501) 745-7161
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2003978

Hope Medical Clinic · Clinton, AR
Active · expires Feb 22, 2028
CLIA Number04D2003978
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorMs. Nichole D. Clark
Laboratory Phone(501) 745-7161
Laboratory LocationHope Medical Clinic145 Shakerag Road, Clinton, AR 72031
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hope Medical Clinic Inc's NPI number?

The NPI number for Hope Medical Clinic Inc is 1013245471. It was assigned to this organization in the NPPES registry on November 24, 2009.

Where is Hope Medical Clinic Inc located?

Hope Medical Clinic Inc is located at 145 Shake Rag Rd, Clinton, AR 72031. The listed phone number is (501) 745-7161.

What is Hope Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Hope Medical Clinic Inc enrolled in Medicare?

Yes. Hope Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hope Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Hope Medical Clinic 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 (3) and Family Practice (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hope Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2003978) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hope Medical Clinic Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Hope Medical Clinic Inc 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 Hope Medical Clinic Inc was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.