MELBOURNE MEDICAL CLINIC
NPI 1477523348
Clinic/Center - Rural Health in Melbourne, AR
About Melbourne Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELBOURNE MEDICAL CLINIC (NPI 1477523348) is a healthcare organization registered as a rural health in Melbourne, Arkansas and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 12, 2028 and lists Shawna Baxter, Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Melbourne Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
58Medicare enrollment records show 58 clinicians reassign Medicare billing to Melbourne Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 58Melbourne, AR 72556
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 Compliance 04D0468315
Melbourne Medical Clinic · Melbourne, 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 White River Health System, Inc.'s NPI number?
The NPI number for White River Health System, Inc. is 1477523348. It was assigned to this organization in the NPPES registry on January 24, 2006. The provider is doing business as Melbourne Medical Clinic.
Where is White River Health System, Inc. located?
White River Health System, Inc. is located at 1526 E. Main St., Melbourne, AR 72556. The listed phone number is (870) 368-4344.
What is White River Health System, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is White River Health System, Inc. enrolled in Medicare?
Yes. White River Health System, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through White River Health System, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 58 clinicians in 5 Medicare specialties reassign their Medicare billing to White River Health System, 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 Certified Registered Nurse Anesthetist (CRNA) (29), Nurse Practitioner (22) and Family Practice (5). 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 White River Health System, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D0468315) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does White River Health System, 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 4 other insurers list White River Health System, 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 White River Health System, Inc. was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Melbourne Medical Clinic · NPI 1477523348
Rural Health organization in Melbourne, Arkansas. Organization record, active in the CMS NPPES registry since January 24, 2006.
## Identity
- **NPI:** 1477523348 (Entity type: Organization)
- **Enumerated:** January 24, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** White River Health System, Inc.
- **Organization subpart:** No
- **Authorized official:** Shawna Baxter, PROVIDER ENROLLMENT
## Practice location
- **Address:** 1526 E. MAIN ST., Melbourne, AR 72556
- **Phone:** (870) 368-4344 · **Fax:** (870) 368-3051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 58 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (29), Nurse Practitioner (22), Family Practice (5); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1477523348/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2024
- **Other identifiers:** Medicaid 124189729 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477523348) · Data from the CMS NPPES public registry.