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VITALITY PLUS
NPI 1023639614
Clinic/Center in Mountain Home, AR

Active since May 05, 2020CLIA Certified · 3 labs
501 HOSPITAL DR, MOUNTAIN HOME, AR 72653(870) 580-0283(870) 580-0297 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 22, 2023, Jun 16, 2020, May 5, 2020 (3 updates tracked since 2020).

About Vitality Plus NPPES

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

VITALITY PLUS (NPI 1023639614) is a healthcare organization registered as a clinic/center in Mountain Home, Arkansas and active in the NPI registry since May 2020. The organization holds 3 active CLIA laboratory certificates and lists Daniel B Decker, Owner, as its authorized official.

NPPES Registry Identity

NPI1023639614
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVITALITY PLUS LLC
Location Address501 HOSPITAL DRMountain Home, AR 72653-2912
Mailing Address501 Hospital DrMountain Home, AR 72653-2912 · (870) 580-0283 · Fax (870) 580-0297
Phone(870) 580-0283
Fax(870) 580-0297
Organization SubpartNo
Authorized OfficialDaniel B DeckerOwner · (870) 232-5215
Enumeration DateMay 5, 2020
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1023639614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
501 HOSPITAL DR, Mountain Home, AR 72653
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Other Names 1

Doing Business AsVitality Plus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Vitality Plus 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 Vitality Plus, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Katie Combs, APN
Nurse Practitioner
NPI 1518155761
501 HOSPITAL DR
Mountain Home, AR 72653
(870) 580-0158
✔ PECOS✔ Accepts MedicareSame address
Tosha Applegate, APRN- CNP
Nurse Practitioner
NPI 1891346862
19 MEDICAL PLZ
Mountain Home, AR 72653
(870) 580-0283
✔ PECOS✔ Accepts Medicare0.2 mi
William Smith, M.D.
Obstetrics/Gynecology
NPI 1184063182
19 MEDICAL PLZ STE 10
Mountain Home, AR 72653
(870) 232-0948
✔ PECOS✔ Accepts Medicare0.2 mi
Daniel Decker, MD
Urology
NPI 1205039807
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.3 mi
Julie Hutchens, APRN
Nurse Practitioner
NPI 1639583834
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.3 mi
Daniel Pevril
Nurse Practitioner
NPI 1649811415
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.3 mi
Amy Reano, NP-C
Nurse Practitioner
NPI 1568054930
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts Medicare0.3 mi

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 3

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 Compliance 04D2281004

Vitality Plus Urology, LLC · Mountain Home, AR
Active · expires Jun 30, 2028
CLIA Number04D2281004
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorDr. Ahsan Siddiqi
Laboratory Phone(870) 232-5215
Laboratory LocationVitality Plus Urology, LLC19 Medical Plaza, Suite 20, Mountain Home, AR 72653
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 04D2296587

Vitality Plus LLC · Mountain Home, AR
Active · expires Jan 1, 2028
CLIA Number04D2296587
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorDr. William C. Smith
Laboratory Phone(870) 580-0283
Laboratory LocationVitality Plus LLC19 Medical Plaza Suite 50, Mountain Home, AR 72653
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2333993

Vitality Plus Urology, LLC · Mountain Home, AR
Active · expires Nov 12, 2027
CLIA Number04D2333993
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorDaniel Decker
Laboratory Phone(870) 232-5215
Laboratory LocationVitality Plus Urology, LLC140 Hwy 201 N, Mountain Home, AR 72653
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 Vitality Plus LLC's NPI number?

The NPI number for Vitality Plus LLC is 1023639614. It was assigned to this organization in the NPPES registry on May 5, 2020. The provider is doing business as Vitality Plus.

Where is Vitality Plus LLC located?

Vitality Plus LLC is located at 501 Hospital Dr, Mountain Home, AR 72653. The listed phone number is (870) 580-0283.

What is Vitality Plus LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Vitality Plus LLC enrolled in Medicare?

Yes. Vitality Plus LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Plus LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Vitality Plus LLC. 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 (5), Obstetrics/Gynecology (1) and Urology (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vitality Plus LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Vitality Plus LLC 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 1 other insurer list Vitality Plus LLC 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 Vitality Plus LLC was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.