MISSISSIPPI COUNTY HOSPITAL SYSTEM
NPI 1164720868
Emergency Medicine in Blytheville, AR

Active since March 03, 2011
1100 MEDICAL DR, BLYTHEVILLE, AR 72315(870) 762-6725 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mississippi County Hospital System NPPES

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

MISSISSIPPI COUNTY HOSPITAL SYSTEM (NPI 1164720868) is a healthcare organization registered as an emergency medicine in Blytheville, Arkansas and active in the NPI registry since March 2011. The organization lists Chris L Raymer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164720868
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMISSISSIPPI COUNTY HOSPITAL SYSTEM
Location Address1100 MEDICAL DRBlytheville, AR 72315-1425
Mailing Address1100 Medical DrBlytheville, AR 72315-1425 · (870) 762-6725
Organization SubpartNo
Authorized OfficialChris L RaymerCeo · (870) 838-7460
Enumeration DateMarch 3, 2011
✔ NPI 1164720868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedMidwifeTaxonomy 176B00000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPodiatristTaxonomy 213E00000X
1100 MEDICAL DR, Blytheville, AR 72315

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Mississippi County Hospital System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Mississippi County Hospital System, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner5
Obstetrics/Gynecology5
Family Practice4
Certified Registered Nurse Anesthetist (CRNA)2
Emergency Medicine1
General Surgery1
Internal Medicine1

Clinicians, nearest first (19)

Family Practice
NPI 1932307618
1100 MEDICAL DR
Blytheville, AR 72315
(870) 838-7277
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396117453
1100 MEDICAL DR
Blytheville, AR 72315
(870) 563-6504
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386216455
1520 N DIVISION ST
Blytheville, AR 72315
(870) 838-7300
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1598388928
1520 N DIVISION ST
Blytheville, AR 72315
(870) 838-7300
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1043929573
602 W UNION AVE STE B
Osceola, AR 72370
(870) 563-6504
✔ PECOS✔ Accepts Medicare17 mi
General Surgery
NPI 1972610905
907 E REED ST
Hayti, MO 63851
(573) 359-3660
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1811314842
225 E JACKSON AVE
Jonesboro, AR 72401
(870) 972-4100
✔ PECOS✔ Accepts Medicare45 mi
Family Practice
NPI 1467436758
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare56 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972736551
3100 OAK GROVE RD
Poplar Bluff, MO 63901
(573) 776-2000
✔ Accepts Medicare65 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902824170
1601 NEW CASTLE RD
Forrest City, AR 72335
(870) 261-0513
✔ Accepts Medicare79 mi
Emergency Medicine
NPI 1316943632
1200 MCLAIN ST
Newport, AR 72112
(870) 523-2155
✔ PECOS✔ Accepts Medicare79 mi
Obstetrics/Gynecology
NPI 1578822581
4014 OLD WARREN RD
Pine Bluff, AR 71603
(870) 454-4354
✔ PECOS✔ Accepts Medicare171 mi
Obstetrics/Gynecology
NPI 1790745685
301 PROFESSIONAL PARK DR STE B
Arkadelphia, AR 71923
(888) 710-8220
✔ PECOS✔ Accepts Medicare219 mi
Obstetrics/Gynecology
NPI 1346220449
1500 DODSON AVE SUITE 230
Fort Smith, AR 72901
(479) 709-7490
✔ PECOS✔ Accepts Medicare256 mi
Obstetrics/Gynecology
NPI 1881654978
1500 E DOWNING ST STE 208
Tahlequah, OK 74464
(918) 456-2496
✔ PECOS✔ Accepts Medicare282 mi
Internal Medicine
NPI 1578512356
601 STATE ROUTE 664 N
Logan, OH 43138
(740) 380-8000
✔ PECOS✔ Accepts Medicare479 mi
Obstetrics/Gynecology
NPI 1982869350
14080 NACOGDOCHES RD # 313
San Antonio, TX 78247
(210) 281-1701
✔ PECOS660 mi
Family Practice
NPI 1023003258
3910 NORTHDALE BLVD STE 206
Tampa, FL 33624
(813) 264-7922
✔ PECOS✔ Accepts Medicare693 mi
Family Practice
NPI 1629207386
31 ROCHE BROS WAY
North Easton, MA 02356
(508) 894-0400
✔ PECOS✔ Accepts Medicare1,095 mi

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 Mississippi County Hospital System's NPI number?

The NPI number for Mississippi County Hospital System is 1164720868. It was assigned to this organization in the NPPES registry on March 3, 2011.

Where is Mississippi County Hospital System located?

Mississippi County Hospital System is located at 1100 Medical Dr, Blytheville, AR 72315. The listed phone number is (870) 762-6725.

What is Mississippi County Hospital System's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mississippi County Hospital System enrolled in Medicare?

Yes. Mississippi County Hospital System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mississippi County Hospital System?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 7 Medicare specialties reassign their Medicare billing to Mississippi County Hospital System. 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 (5) and Family Practice (4). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mississippi County Hospital System 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 Mississippi County Hospital 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 Mississippi County Hospital System was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.