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CHI ST. VINCENT MEDICAL GROUP HOT SPRINGS
NPI 1164752994
Clinic/Center - Rural Health in Mount Ida, AR

Active since December 29, 2009CLIA 04D0466068 · Certificate of Compliance
320 LUZERNE ST, MOUNT IDA, AR 71957(870) 867-2175(870) 867-4050 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Chi St. Vincent Medical Group Hot Springs NPPES

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

CHI ST. VINCENT MEDICAL GROUP HOT SPRINGS (NPI 1164752994) is a healthcare organization registered as a rural health in Mount Ida, Arkansas and active in the NPI registry since December 2009. The organization holds a CLIA Certificate of Compliance certificate valid through June 6, 2027 and lists Shawn Barnett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164752994
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCHI ST. VINCENT MEDICAL GROUP HOT SPRINGS
Location Address320 LUZERNE STMount Ida, AR 71957-9437
Mailing AddressPo Box 21850Hot Springs, AR 71903-1850 · (501) 627-1800 · Fax (501) 627-1899
Phone(870) 867-2175
Fax(870) 867-4050
Organization SubpartNo
Authorized OfficialShawn BarnettCfo · (501) 609-2229
Enumeration DateDecember 29, 2009
Last NPPES UpdateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
✔ NPI 1164752994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
320 LUZERNE ST, Mount Ida, AR 71957
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chi St. Vincent Medical Group Hot Springs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Chi St. Vincent Medical Group Hot Springs, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Family Practice2
Emergency Medicine1
Radiation Oncology1

Clinicians, nearest first (10)

Stacie Hipp, APRN
Nurse Practitioner
NPI 1093241051
320 LUZERNE ST
Mount Ida, AR 71957
(870) 867-2175
✔ PECOSSame address
Joshua Lindsey, MD
Family Practice
NPI 1225659998
320 LUZERNE ST
Mount Ida, AR 71957
(870) 867-2175
✔ PECOS✔ Accepts MedicareSame address
Heather Funderburk, APRN
Nurse Practitioner
NPI 1033577234
320 LUZERNE ST
Mount Ida, AR 71957
(870) 867-2175
✔ PECOS✔ Accepts MedicareSame address
Amy Stvartak, APRN
Nurse Practitioner
NPI 1992224950
534 LUZERNE ST
Mount Ida, AR 71957
(870) 867-4244
✔ PECOS0.2 mi
Kimberly Nance, APRN, BC, FNP
Nurse Practitioner
NPI 1174685465
139 SCHOOL LN
Mena, AR 71953
(479) 469-7722
✔ PECOS✔ Accepts Medicare33 mi
Mark Larey, D.O.
Emergency Medicine
NPI 1972563773
100 MCGOWAN CT
Hot Springs National Park, AR 71913
(501) 525-9675
✔ PECOS✔ Accepts Medicare33 mi
Natalie Summitt, APRN
Nurse Practitioner
NPI 1417210543
100 MCGOWAN CT
Hot Springs, AR 71913
(501) 525-9675
✔ PECOS✔ Accepts Medicare33 mi
Alisha Nichols
Nurse Practitioner
NPI 1275007072
200 HEARTCENTER LN
Hot Springs, AR 71913
(501) 625-8400
✔ PECOS✔ Accepts Medicare33 mi
Abigail Wilhite, MD
Family Practice
NPI 1073076550
319 E 13TH ST
Murfreesboro, AR 71958
(870) 285-3118
✔ PECOS✔ Accepts Medicare33 mi
John Lynch, D.O.
Radiation Oncology
NPI 1659320083
225 E JACKSON AVE
Jonesboro, AR 72401
(870) 972-4510
✔ PECOS188 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

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 04D0466068

Chi St Vincent Medical Group Hot Springs · Mount Ida, AR
Active · expires Jun 6, 2027
CLIA Number04D0466068
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorMs. Jennifer Bray
Laboratory Phone(870) 867-2175
Laboratory LocationChi St Vincent Medical Group Hot Springs320 Luzerne St, Mount Ida, AR 71957
CLIA data matches this NPI record on: Address 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.

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 Chi St. Vincent Medical Group Hot Springs's NPI number?

The NPI number for Chi St. Vincent Medical Group Hot Springs is 1164752994. It was assigned to this organization in the NPPES registry on December 29, 2009.

Where is Chi St. Vincent Medical Group Hot Springs located?

Chi St. Vincent Medical Group Hot Springs is located at 320 Luzerne St, Mount Ida, AR 71957. The listed phone number is (870) 867-2175.

What is Chi St. Vincent Medical Group Hot Springs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Chi St. Vincent Medical Group Hot Springs enrolled in Medicare?

Yes. Chi St. Vincent Medical Group Hot Springs is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chi St. Vincent Medical Group Hot Springs?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Chi St. Vincent Medical Group Hot Springs. 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 (6), Family Practice (2) and Emergency Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chi St. Vincent Medical Group Hot Springs hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0466068) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chi St. Vincent Medical Group Hot Springs was last updated on March 2, 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.