JEFFERSON REGIONAL CROSSETT CLINIC
NPI 1225799646
Clinic/Center - Rural Health in Crossett, AR
About Jefferson Regional Crossett Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON REGIONAL CROSSETT CLINIC (NPI 1225799646) is a healthcare organization registered as a rural health in Crossett, Arkansas and active in the NPI registry since January 2022. The organization holds an CLIA Accreditation certificate valid through July 25, 2028 and lists Shayla Robinson, Corporate Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jefferson Regional Crossett Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
106Medicare enrollment records show 106 clinicians reassign Medicare billing to Jefferson Regional Crossett Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 106Source: 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 Accreditation 04D2156669
Jefferson Regional- Crossett Clinic · Crossett, ARFrequently 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 Jefferson Hospital Association, Inc's NPI number?
The NPI number for Jefferson Hospital Association, Inc is 1225799646. It was assigned to this organization in the NPPES registry on January 7, 2022. The provider is also known as Jefferson Regional Crossett Clinic.
Where is Jefferson Hospital Association, Inc located?
Jefferson Hospital Association, Inc is located at 201 Fairview Road Suite A, Crossett, AR 71635. The listed phone number is (870) 364-0000.
What is Jefferson Hospital Association, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Jefferson Hospital Association, Inc enrolled in Medicare?
Yes. Jefferson Hospital Association, Inc is registered in the Medicare PECOS enrollment system.
When is Jefferson Hospital Association, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jefferson Hospital Association, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 106 clinicians in 22 Medicare specialties reassign their Medicare billing to Jefferson Hospital Association, Inc. 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 (21), Family Practice (15) and Internal Medicine (11). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jefferson Hospital Association, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 04D2156669) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jefferson Hospital Association, Inc was last updated on April 1, 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.
# Jefferson Regional Crossett Clinic · NPI 1225799646
Rural Health organization in Crossett, Arkansas. Organization record, active in the CMS NPPES registry since January 7, 2022.
## Identity
- **NPI:** 1225799646 (Entity type: Organization)
- **Enumerated:** January 7, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Jefferson Hospital Association, Inc
- **Organization subpart:** No
- **Authorized official:** Shayla Robinson, CORPORATE COMPLIANCE OFFICER
## Practice location
- **Address:** 201 FAIRVIEW ROAD, SUITE A, Crossett, AR 71635-4537
- **Phone:** (870) 364-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 106 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Family Practice (15), Internal Medicine (11); 1 practice at this address; [full list](https://npiprofile.com/npi/1225799646/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225799646) · Data from the CMS NPPES public registry.