BAXTER REGIONAL CARDIOVASCULAR CLINIC
NPI 1265197651
Specialist in Mountain Home, AR

Active since November 01, 2021CLIA 04D1030816 · Waiver
555 W 6TH ST, MOUNTAIN HOME, AR 72653(870) 425-8288 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2021, Nov 2, 2021 (2 updates tracked since 2021).

About Baxter Regional Cardiovascular Clinic NPPES

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

BAXTER REGIONAL CARDIOVASCULAR CLINIC (NPI 1265197651) is a healthcare organization registered as a specialist in Mountain Home, Arkansas and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through September 16, 2028 and lists Lucinda Crow, System Data Analyst, as its authorized official.

NPPES Registry Identity

NPI1265197651
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBAXTER REGIONAL ENTERPRISES, LLC
Location Address555 W 6TH STMountain Home, AR 72653-3409
Mailing Address555 W 6th StMountain Home, AR 72653-3409
Organization SubpartNo
Authorized OfficialLucinda CrowSystem Data Analyst · (870) 508-1081
Enumeration DateNovember 1, 2021
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1265197651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
555 W 6TH ST, Mountain Home, AR 72653

Other Names 1

Doing Business AsBaxter Regional Cardiovascular Clinic

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

Accepted Insurance

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)

Baxter Regional Cardiovascular Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20220121001564Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Baxter Regional Cardiovascular Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Cardiovascular Disease (Cardiology)8
Nurse Practitioner8
Interventional Cardiology2
Otolaryngology2
Internal Medicine1
Qualified Audiologist1
Urology1

Nearest to this location (20)

See all 23
Nurse Practitioner
NPI 1649580473
555 W 6TH ST
Mountain Home, AR 72653
(870) 425-8288
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1083658132
555 W 6TH ST
Mountain Home, AR 72653
(870) 425-8288
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1558363622
555 W 6TH ST
Mountain Home, AR 72653
(870) 425-8288
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487176764
555 W 6TH ST
Mountain Home, AR 72653
(870) 425-8288
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1578050266
555 W 6TH ST
Mountain Home, AR 72653
(870) 425-8288
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1700226768
555 W 6TH ST
Mountain Home, AR 72653
(870) 425-8288
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992775878
555 W 6TH ST
Mountain Home, AR 72653
(870) 425-8288
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1043214323
555 W 6TH ST
Mountain Home, AR 72653
(870) 425-8288
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255908455
626 BURNETT DR
Mountain Home, AR 72653
(870) 424-4200
✔ PECOS✔ Accepts Medicare0.3 mi
Otolaryngology
NPI 1851616148
626 BURNETT DR
Mountain Home, AR 72653
(870) 424-4200
✔ PECOS✔ Accepts Medicare0.3 mi
Otolaryngology
NPI 1629077896
626 BURNETT DR
Mountain Home, AR 72653
(870) 424-4200
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1821950437
626 BURNETT DR STE 1
Mountain Home, AR 72653
(870) 424-4200
✔ PECOS✔ Accepts Medicare0.3 mi
Qualified Audiologist
NPI 1598165896
626 BURNETT DR
Mountain Home, AR 72653
(870) 424-4200
✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1891346862
19 MEDICAL PLZ
Mountain Home, AR 72653
(870) 580-0283
✔ PECOS✔ Accepts Medicare0.4 mi
Urology
NPI 1740356153
15 GREEN VALLEY DR
Mountain Home, AR 72653
(870) 701-0490
✔ PECOS✔ Accepts Medicare1.3 mi
Cardiovascular Disease (Cardiology)
NPI 1336590363
114 E CRANDALL AVE
Harrison, AR 72601
(870) 741-6065
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1588296586
620 N MAIN ST STE 2A
Harrison, AR 72601
(870) 414-4599
✔ PECOS✔ Accepts Medicare41 mi
Internal Medicine
NPI 1710970637
702 N. SPRING STREET
Harrison, AR 72601
(870) 365-0761
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1760106868
2115 S FREMONT AVE STE 3300
Springfield, MO 65804
(417) 820-5200
✔ PECOS✔ Accepts Medicare76 mi
Cardiovascular Disease (Cardiology)
NPI 1174567812
2900 MEDICAL CENTER PKWY SUITE 240B
Bentonville, AR 72712
(479) 553-2200
✔ PECOS✔ Accepts Medicare100 mi
See all 23 clinicians

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 Waiver 04D1030816

Baxter Regional Cardiovascular Clinic · Mountain Home, AR
Active · expires Sep 16, 2028
CLIA Number04D1030816
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2026
Certificate Expiration DateSeptember 16, 2028
Laboratory DirectorChristopher S. Webb
Laboratory Phone(870) 425-8288
Laboratory LocationBaxter Regional Cardiovascular Clinic555 West 6th Street, Mountain Home, AR 72653
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Baxter Regional Enterprises, LLC's NPI number?

The NPI number for Baxter Regional Enterprises, LLC is 1265197651. It was assigned to this organization in the NPPES registry on November 1, 2021. The provider is doing business as Baxter Regional Cardiovascular Clinic.

Where is Baxter Regional Enterprises, LLC located?

Baxter Regional Enterprises, LLC is located at 555 W 6th St, Mountain Home, AR 72653. The listed phone number is (870) 425-8288.

What is Baxter Regional Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Baxter Regional Enterprises, LLC enrolled in Medicare?

Yes. Baxter Regional Enterprises, LLC is registered in the Medicare PECOS enrollment system.

When is Baxter Regional Enterprises, LLC'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 March 31, 2027. 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 Baxter Regional Enterprises, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 7 Medicare specialties reassign their Medicare billing to Baxter Regional Enterprises, LLC. 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 Cardiovascular Disease (Cardiology) (8), Nurse Practitioner (8) and Interventional Cardiology (2). Of these, 8 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baxter Regional Enterprises, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1030816) is associated with this NPI, valid through September 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baxter Regional Enterprises, LLC 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 1 other insurer list Baxter Regional Enterprises, LLC 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 Baxter Regional Enterprises, LLC was last updated on November 30, 2021. 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.