RIVER VALLEY PRIMARY CARE SERVICES
NPI 1184256679
Clinic/Center - Federally Qualified Health Center (FQHC) in Bonanza, AR
About River Valley Primary Care Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER VALLEY PRIMARY CARE SERVICES (NPI 1184256679), doing business as Bonanza Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Bonanza, Arkansas and active in the NPI registry since February 2020. The organization lists Jerome J White, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
River Valley Primary Care Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to River Valley Primary Care Services, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 42Source: 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 River Valley Primary Care Services's NPI number?
The NPI number for River Valley Primary Care Services is 1184256679. It was assigned to this organization in the NPPES registry on February 12, 2020. The provider is doing business as Bonanza Wellness Center.
Where is River Valley Primary Care Services located?
River Valley Primary Care Services is located at 920 S Highway 45, Bonanza, AR 72916. The listed phone number is (479) 431-2057.
What is River Valley Primary Care Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is River Valley Primary Care Services enrolled in Medicare?
Yes. River Valley Primary Care Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through River Valley Primary Care Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 5 Medicare specialties reassign their Medicare billing to River Valley Primary Care Services. 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 (28), Family Practice (9) and Internal Medicine (2). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does River Valley Primary Care Services 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 4 other insurers list River Valley Primary Care Services 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 River Valley Primary Care Services was last updated on February 12, 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.
# River Valley Primary Care Services · NPI 1184256679
Federally Qualified Health Center (FQHC) organization in Bonanza, Arkansas. Organization record, active in the CMS NPPES registry since February 12, 2020.
## Identity
- **NPI:** 1184256679 (Entity type: Organization)
- **Enumerated:** February 12, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Bonanza Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jerome White, CEO
## Practice location
- **Address:** 920 S HIGHWAY 45, Bonanza, AR 72916-3420
- **Phone:** (479) 431-2057 · **Fax:** (479) 431-2058
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 42 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Family Practice (9), Internal Medicine (2); 13 practice within 10 miles; [full list](https://npiprofile.com/npi/1184256679/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1184256679) · Data from the CMS NPPES public registry.