BRISTOL REGIONAL MEDICAL CENTER
NPI 1124058615
General Acute Care Hospital in Bristol, TN
About Bristol Regional Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRISTOL REGIONAL MEDICAL CENTER (NPI 1124058615) is a healthcare organization registered as a general acute care hospital in Bristol, Tennessee and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through October 1, 2027 and lists Shane Edwin Hilton, Evp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 12
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)
Bristol Regional Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by December 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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 Bristol Regional Medical Center, which bills Medicare for the services they deliver. 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 of Accreditation 44D0310813
Bristol Regional Medical Center · Bristol, TNFrequently 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 Wellmont Health System's NPI number?
The NPI number for Wellmont Health System is 1124058615. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Bristol Regional Medical Center.
Where is Wellmont Health System located?
Wellmont Health System is located at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.
What is Wellmont Health System's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Wellmont Health System enrolled in Medicare?
Yes. Wellmont Health System is registered in the Medicare PECOS enrollment system.
When is Wellmont Health System's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Wellmont Health System holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Part A, Virginia, Hospital). 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 Wellmont Health System?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wellmont Health System, 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.
Does Wellmont Health System hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 44D0310813) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wellmont Health System accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Wellmont Health System 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 Wellmont Health System was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bristol Regional Medical Center · NPI 1124058615
General Acute Care Hospital organization in Bristol, Tennessee. Organization record, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1124058615 (Entity type: Organization)
- **Enumerated:** July 3, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Legal business name:** Wellmont Health System
- **Organization subpart:** No
- **Authorized official:** Shane Hilton, EVP/CFO
## Practice location
- **Address:** 1 MEDICAL PARK BLVD, Bristol, TN 37620-7430
- **Phone:** (423) 844-1121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Virginia, Hospital), next of 2 enrollments with upcoming dates · 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) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2024
- **Other identifiers:** Other 6530115 (TN); Medicaid 004400127 (VA); Other 1377051 (TN); and 9 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124058615) · Data from the CMS NPPES public registry.