BAPTIST HEALTH FAMILY CLINIC MAUMELLE
NPI 1124037866
Family Medicine in Maumelle, AR
About Baptist Health Family Clinic Maumelle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAPTIST HEALTH FAMILY CLINIC MAUMELLE (NPI 1124037866) is a healthcare organization registered as a family medicine in Maumelle, Arkansas and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through May 2, 2027 and lists Will L Rusher, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Baptist Health Family Clinic Maumelle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Baptist Health Family Clinic Maumelle, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 for Provider-Performed Microscopy Procedures (PPMP) 04D0466687
Baptist Health Family Clinic · Maumelle, ARFrequently 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 Arkansas Health Group's NPI number?
The NPI number for Arkansas Health Group is 1124037866. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is doing business as Baptist Health Family Clinic Maumelle.
Where is Arkansas Health Group located?
Arkansas Health Group is located at 1701 Club Manor Dr Suite 2, Maumelle, AR 72113. The listed phone number is (501) 851-7400.
What is Arkansas Health Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Arkansas Health Group enrolled in Medicare?
Yes. Arkansas Health Group is registered in the Medicare PECOS enrollment system.
When is Arkansas Health Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Arkansas Health Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Arkansas Health Group, 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Arkansas Health Group hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0466687) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Arkansas Health Group 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 Arkansas Health Group 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 Arkansas Health Group was last updated on April 11, 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.
# Baptist Health Family Clinic Maumelle · NPI 1124037866
Family Medicine organization in Maumelle, Arkansas. Organization record, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1124037866 (Entity type: Organization)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Arkansas Health Group
- **Organization subpart:** No
- **Authorized official:** Will Rusher, CEO
## Practice location
- **Address:** 1701 CLUB MANOR DR, SUITE 2, Maumelle, AR 72113-7400
- **Phone:** (501) 851-7400 · **Fax:** (501) 851-4753
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2019
- **Other identifiers:** Medicaid 129802002 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124037866) · Data from the CMS NPPES public registry.