BAXTER HEALTH WILLOW STREET FAMILY CLINIC
NPI 1356976047
Family Medicine in Harrison, AR
About Baxter Health Willow Street Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAXTER HEALTH WILLOW STREET FAMILY CLINIC (NPI 1356976047) is a healthcare organization registered as a family medicine in Harrison, Arkansas and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Debra Henry, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Baxter Health Willow Street Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Baxter Health Willow Street Family Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (19)
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 04D2187783
Baxter Health Willow Street Family Clinic · Harrison, 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 Baxter Regional Health System's NPI number?
The NPI number for Baxter Regional Health System is 1356976047. It was assigned to this organization in the NPPES registry on March 3, 2020. The provider is doing business as Baxter Health Willow Street Family Clinic.
Where is Baxter Regional Health System located?
Baxter Regional Health System is located at 406 N Willow St, Harrison, AR 72601. The listed phone number is (870) 741-3252.
What is Baxter Regional Health System's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Baxter Regional Health System enrolled in Medicare?
Yes. Baxter Regional Health System is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Baxter Regional Health System?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Baxter Regional Health System. 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 Family Practice (9), Nurse Practitioner (7) and Internal Medicine (2). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Baxter Regional Health System hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2187783) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Baxter Regional Health System 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 Health System 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 Health System was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Baxter Health Willow Street Family Clinic · NPI 1356976047
Family Medicine organization in Harrison, Arkansas. Organization record, active in the CMS NPPES registry since March 3, 2020.
## Identity
- **NPI:** 1356976047 (Entity type: Organization)
- **Enumerated:** March 3, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Baxter Regional Health System
- **Organization subpart:** No
- **Authorized official:** Debra Henry, CFO
## Practice location
- **Address:** 406 N WILLOW ST, Harrison, AR 72601-3517
- **Phone:** (870) 741-3252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (9), Nurse Practitioner (7), Internal Medicine (2); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356976047) · Data from the CMS NPPES public registry.