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ADVANCED MEDICINE OF THE OZARKS, LTD
NPI 1225786916
Nurse Practitioner - Family in Mountain Home, AR

Active since March 12, 2022
104 DYER ST, MOUNTAIN HOME, AR 72653(870) 232-0397(870) 232-0399 Get Directions Write a Review

NPPES record last updated: March 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Medicine Of The Ozarks, Ltd NPPES

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

ADVANCED MEDICINE OF THE OZARKS, LTD (NPI 1225786916) is a healthcare organization registered as a family in Mountain Home, Arkansas and active in the NPI registry since March 2022. The organization lists Tracie Gilliland, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1225786916
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED MEDICINE OF THE OZARKS, LTD
Location Address104 DYER STMountain Home, AR 72653-3514
Mailing AddressPo Box 2457Mountain Home, AR 72654-2457 · (870) 232-0397 · Fax (870) 232-0399
Phone(870) 232-0397
Fax(870) 232-0399
Organization SubpartNo
Authorized OfficialTracie GillilandNurse Practitioner · (870) 232-0397
Enumeration DateMarch 12, 2022
NPPES CertifiedMarch 12, 2022
✔ NPI 1225786916 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
104 DYER ST, Mountain Home, AR 72653
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Medicine Of The Ozarks, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Medicine Of The Ozarks, Ltd, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ronald Bruton, MD
Family Practice
NPI 1033114566
250 DRILLERS RD
Mountain Home, AR 72653
(870) 492-5995
✔ PECOS✔ Accepts Medicare2.9 mi
Tracie Gilliland, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1568082006
360 MC 7097
Flippin, AR 72634
(870) 404-2347
✔ PECOS✔ Accepts Medicare11 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 Advanced Medicine Of The Ozarks, Ltd's NPI number?

The NPI number for Advanced Medicine Of The Ozarks, Ltd is 1225786916. It was assigned to this organization in the NPPES registry on March 12, 2022.

Where is Advanced Medicine Of The Ozarks, Ltd located?

Advanced Medicine Of The Ozarks, Ltd is located at 104 Dyer St, Mountain Home, AR 72653. The listed phone number is (870) 232-0397.

What is Advanced Medicine Of The Ozarks, Ltd's specialty?

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

Is Advanced Medicine Of The Ozarks, Ltd enrolled in Medicare?

Yes. Advanced Medicine Of The Ozarks, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Medicine Of The Ozarks, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Medicine Of The Ozarks, Ltd, 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Medicine Of The Ozarks, Ltd was last updated on March 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.