SALINE HEART GROUP, P.A.
NPI 1477510220
Specialist in Benton, AR

Active since April 26, 2006CLIA 04D1026830 · Waiver
1000 HWY 35 N, SUITE 8, BENTON, AR 72019(501) 315-4008(501) 315-3411 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Saline Heart Group, P.a. NPPES

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

SALINE HEART GROUP, P.A. (NPI 1477510220) is a healthcare organization registered as a specialist in Benton, Arkansas and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Jamie Krticka, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477510220
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSALINE HEART GROUP, P.A.
Location Address1000 HWY 35 N, SUITE 8Benton, AR 72019-2351
Mailing Address1000 Hwy 35 N Ste 8, P.o. Box 2860Benton, AR 72019-2353 · (501) 315-4008 · Fax (501) 315-3411
Fax(501) 315-3411
Organization SubpartNo
Authorized OfficialJamie KrtickaOffice Manager · (501) 315-4008
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1477510220 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.
1000 HWY 35 N, Benton, AR 72019

Other Identifiers 3

Other5F079AR · Bcbs
Medicaid154274002AR
Other5F079AR · Medicare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saline Heart Group, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Saline Heart Group, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Cardiovascular Disease (Cardiology)
NPI 1114919107
1000 HIGHWAY 35 N SUITE 8
Benton, AR 72019
(501) 315-4008
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457450827
1000 HIGHWAY 35 N STE 8
Benton, AR 72019
(501) 315-4008
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1306437694
4301 W MARKHAM ST # 500
Little Rock, AR 72205
(501) 686-5838
✔ PECOS✔ Accepts Medicare19 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 04D1026830

Saline Heart Group PA Clinical Laboratory Services · Benton, AR
Active · expires Jan 10, 2027
CLIA Number04D1026830
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorAllan Hatch
Laboratory Phone(501) 315-4008
Laboratory LocationSaline Heart Group PA Clinical Laboratory Services1000 Hwy 35, Suite 8, Benton, AR 72019
CLIA data matches this NPI record on: 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 Saline Heart Group, P.A.'s NPI number?

The NPI number for Saline Heart Group, P.A. is 1477510220. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Saline Heart Group, P.A. located?

Saline Heart Group, P.A. is located at 1000 Hwy 35 N Suite 8, Benton, AR 72019. The listed phone number is (501) 315-4008.

What is Saline Heart Group, P.A.'s specialty?

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

Is Saline Heart Group, P.A. enrolled in Medicare?

Yes. Saline Heart Group, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Saline Heart Group, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Saline Heart Group, P.A., in Cardiovascular Disease (Cardiology) 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Saline Heart Group, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1026830) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Saline Heart Group, P.A. 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 4 other insurers list Saline Heart Group, P.A. 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 Saline Heart Group, P.A. was last updated on July 21, 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.