CORNERSTONE MEDICAL CLINIC PLLC
NPI 1063464964
Clinic/Center - Multi-Specialty in Harrison, AR
About Cornerstone Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNERSTONE MEDICAL CLINIC PLLC (NPI 1063464964) is a healthcare organization registered as a multi-specialty in Harrison, Arkansas and active in the NPI registry since May 2006. The organization lists Steven M Shrum, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Cornerstone Medical Clinic Pllc 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 Cornerstone Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. 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 Cornerstone Medical Clinic PLLC's NPI number?
The NPI number for Cornerstone Medical Clinic PLLC is 1063464964. It was assigned to this organization in the NPPES registry on May 17, 2006.
Where is Cornerstone Medical Clinic PLLC located?
Cornerstone Medical Clinic PLLC is located at 825 N Main St., Harrison, AR 72601. The listed phone number is (870) 743-4900.
What is Cornerstone Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Cornerstone Medical Clinic PLLC enrolled in Medicare?
Yes. Cornerstone Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cornerstone Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cornerstone Medical Clinic PLLC, in Internal Medicine 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cornerstone Medical Clinic PLLC 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 Cornerstone Medical Clinic PLLC 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 Cornerstone Medical Clinic PLLC was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Cornerstone Medical Clinic Pllc · NPI 1063464964
Multi-Specialty organization in Harrison, Arkansas. Organization record, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1063464964 (Entity type: Organization)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Steven Shrum, OWNER
## Practice location
- **Address:** 825 N MAIN ST., Harrison, AR 72601
- **Phone:** (870) 743-4900 · **Fax:** (870) 743-4949
## 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), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2020
- **Other identifiers:** Medicaid 149189002 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1063464964) · Data from the CMS NPPES public registry.