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CLEAR CREEK WELLNESS
NPI 1215794599
Nurse Practitioner - Family in Springdale, AR

Active since March 04, 2024CLIA 04D2304384 · Waiver
5203 WILLOW CREEK DR STE B, SPRINGDALE, AR 72762(479) 301-8970 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2024, Mar 4, 2024 (2 updates tracked since 2024).

About Clear Creek Wellness NPPES

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

CLEAR CREEK WELLNESS (NPI 1215794599) is a healthcare organization registered as a family in Springdale, Arkansas and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Heron Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1215794599
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCLEAR CREEK WELLNESS
Location Address5203 WILLOW CREEK DR STE BSpringdale, AR 72762-0876
Mailing Address2811 Springdale Ave # 8050Springdale, AR 72764-4358 · (479) 283-9958
Phone(479) 301-8970
Organization SubpartNo
Authorized OfficialHeron MartinOwner · (479) 283-9958
Enumeration DateMarch 4, 2024
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1215794599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5203 WILLOW CREEK DR STE B, Springdale, AR 72762
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Waiver 04D2304384

Clear Creek Wellness LLC · Springdale, AR
Active · expires May 12, 2028
CLIA Number04D2304384
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorHeron B. Martin
Laboratory Phone(479) 301-8970
Laboratory LocationClear Creek Wellness LLC5203 Willow Creek Drive Suite B, Springdale, AR 72762
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HERON B MARTIN APRN
Nurse Practitioner (Family)
5203 WILLOW CREEK DR STE B
SPRINGDALE, AR 72762
Washington County (479) 301-8790

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 Clear Creek Wellness's NPI number?

The NPI number for Clear Creek Wellness is 1215794599. It was assigned to this organization in the NPPES registry on March 4, 2024.

Where is Clear Creek Wellness located?

Clear Creek Wellness is located at 5203 Willow Creek Dr Ste B, Springdale, AR 72762. The listed phone number is (479) 301-8970.

What is Clear Creek Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Clear Creek Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2304384) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clear Creek Wellness accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Clear Creek Wellness 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 Clear Creek Wellness was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.