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BAXTER REGIONAL GASTROENTEROLOGY CLINIC
NPI 1457893281
Internal Medicine - Gastroenterology in Mountain Home, AR

Active since November 10, 2016CLIA 04D2325470 · Waiver
228 BUCHER DR, MOUNTAIN HOME, AR 72653(870) 425-4416(870) 425-8615 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2019, Oct 3, 2019, Jan 6, 2017 and 3 more (6 updates tracked since 2016).

About Baxter Regional Gastroenterology Clinic NPPES

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

BAXTER REGIONAL GASTROENTEROLOGY CLINIC (NPI 1457893281) is a healthcare organization registered as a gastroenterology in Mountain Home, Arkansas and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Debra Henry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457893281
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBAXTER COUNTY REGIONAL HOSPITAL INC
Location Address228 BUCHER DRMountain Home, AR 72653-3400
Mailing AddressPo Box 958539Saint Louis, MO 63195-8539 · (508) 475-0450
Phone(870) 425-4416
Fax(870) 425-8615
Organization SubpartNo
Authorized OfficialDebra HenryCfo · (870) 508-1003
Enumeration DateNovember 10, 2016
Last NPPES UpdateOctober 10, 20196 updates tracked since enumeration
✔ NPI 1457893281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
228 BUCHER DR, Mountain Home, AR 72653
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Other Names 1

Doing Business AsBaxter Regional Gastroenterology Clinic

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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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 Gastroenterology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 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.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20101018000493Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Baxter Regional Gastroenterology Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Patricia Acklin, APRN
Nurse Practitioner
NPI 1184293383
228 BUCHER DR
Mountain Home, AR 72653
(870) 425-4416
✔ PECOS✔ Accepts MedicareSame address
Kirsten Cotter, APRN
Nurse Practitioner
NPI 1851218192
228 BUCHER DR
Mountain Home, AR 72653
(870) 425-4416
✔ PECOS✔ Accepts MedicareSame address
Carmel Kruse, FNPBC
Nurse Practitioner
NPI 1720271711
228 BUCHER DR
Mountain Home, AR 72653
(870) 425-4416
✔ PECOSSame address
Amanda Stricklin, APRN
Nurse Practitioner
NPI 1326857863
228 BUCHER DR
Mountain Home, AR 72653
(870) 425-4416
✔ PECOS✔ Accepts MedicareSame address
Abodunrin Badejo, M.D.
Internal Medicine
NPI 1831157551
228 BUCHER DR
Mountain Home, AR 72653
(870) 425-4416
✔ PECOS✔ Accepts MedicareSame address
William Dyer, M.D.
Gastroenterology
NPI 1437114717
228 BUCHER DR
Mountain Home, AR 72653
(870) 425-4416
✔ PECOS✔ Accepts MedicareSame address
Kimber Jensen, APRN
Nurse Practitioner
NPI 1376136176
860 HIGHWAY 62 E STE 10
Mountain Home, AR 72653
(870) 424-3181
✔ PECOS✔ Accepts Medicare1.5 mi
Jeffrey Stidman, MD
Gastroenterology
NPI 1205822616
300 CARSON ST
Jonesboro, AR 72401
(870) 932-4462
✔ PECOS✔ Accepts Medicare101 mi

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 04D2325470

Baxter Regional Gastroenterology Clinic · Mountain Home, AR
Active · expires Jun 12, 2027
CLIA Number04D2325470
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorDr. Christopher G. Webb
Laboratory Phone(870) 425-4416
Laboratory LocationBaxter Regional Gastroenterology Clinic228 Bucher Drive, 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 County Regional Hospital Inc's NPI number?

The NPI number for Baxter County Regional Hospital Inc is 1457893281. It was assigned to this organization in the NPPES registry on November 10, 2016. The provider is doing business as Baxter Regional Gastroenterology Clinic.

Where is Baxter County Regional Hospital Inc located?

Baxter County Regional Hospital Inc is located at 228 Bucher Dr, Mountain Home, AR 72653. The listed phone number is (870) 425-4416.

What is Baxter County Regional Hospital Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Baxter County Regional Hospital Inc enrolled in Medicare?

Yes. Baxter County Regional Hospital Inc is registered in the Medicare PECOS enrollment system.

When is Baxter County Regional Hospital 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 December 31, 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 Baxter County Regional Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Baxter County Regional Hospital 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 (5), Gastroenterology (2) and Internal Medicine (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baxter County Regional Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2325470) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baxter County Regional Hospital Inc 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 County Regional Hospital Inc 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 County Regional Hospital Inc was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.