BAECHTEL CREEK MEDICAL CLINIC
NPI 1568525400
Clinic/Center - Rural Health in Willits, CA

Active since December 19, 2006CLIA 05D0612624 · Microscopy
1245 S MAIN ST, WILLITS, CA 95490(707) 459-6861(707) 459-3057 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Baechtel Creek Medical Clinic NPPES

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

BAECHTEL CREEK MEDICAL CLINIC (NPI 1568525400) is a healthcare organization registered as a rural health in Willits, California and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through September 29, 2027 and lists Donald Mills Matheson, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1568525400
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJOHN R GLYER D MILLS MATHESON & MARGARET ARNER MDS PTR
Location Address1245 S MAIN STWillits, CA 95490-4305
Mailing Address1245 S Main StWillits, CA 95490-4305 · (707) 459-6861 · Fax (707) 459-3057
Fax(707) 459-3057
Organization SubpartNo
Authorized OfficialDonald Mills MathesonManaging Partner · (707) 459-6861
Enumeration DateDecember 19, 2006
Last NPPES UpdateDecember 15, 2010
✔ NPI 1568525400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in CA · 053968
1245 S MAIN ST, Willits, CA 95490

Other Names 1

Doing Business AsBaechtel Creek Medical Clinic

Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ78182ZCA · Medicare Provider #
Medicare OSCAR/certification053968CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baechtel Creek Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Baechtel Creek Medical Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1629060900
1245 S MAIN ST
Willits, CA 95490
(707) 459-6861
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326391624
1245 S MAIN ST
Willits, CA 95490
(707) 459-6861
✔ PECOSSame address
Family Practice
NPI 1306870605
1245 S MAIN ST
Willits, CA 95490
(707) 459-6861
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1033476452
1245 S MAIN ST
Willits, CA 95490
(707) 459-6861
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1053381939
1245 S MAIN ST
Willits, CA 95490
(707) 459-6861
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972544948
1300 N DUTTON AVE
Santa Rosa, CA 95401
(707) 459-6861
✔ PECOS✔ Accepts Medicare73 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0612624

Baechtel Creek Medical Clinic · Willits, CA
Active · expires Sep 29, 2027
CLIA Number05D0612624
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDonald M. Matheson
Laboratory Phone(707) 459-6861
Laboratory LocationBaechtel Creek Medical Clinic1245 South Main Street, Willits, CA 95490
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 John R Glyer D Mills Matheson & Margaret Arner Mds Ptr's NPI number?

The NPI number for John R Glyer D Mills Matheson & Margaret Arner Mds Ptr is 1568525400. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Baechtel Creek Medical Clinic.

Where is John R Glyer D Mills Matheson & Margaret Arner Mds Ptr located?

John R Glyer D Mills Matheson & Margaret Arner Mds Ptr is located at 1245 S Main St, Willits, CA 95490. The listed phone number is (707) 459-6861.

What is John R Glyer D Mills Matheson & Margaret Arner Mds Ptr's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is John R Glyer D Mills Matheson & Margaret Arner Mds Ptr enrolled in Medicare?

Yes. John R Glyer D Mills Matheson & Margaret Arner Mds Ptr is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John R Glyer D Mills Matheson & Margaret Arner Mds Ptr?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to John R Glyer D Mills Matheson & Margaret Arner Mds Ptr. 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 (5) and Nurse Practitioner (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does John R Glyer D Mills Matheson & Margaret Arner Mds Ptr hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0612624) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John R Glyer D Mills Matheson & Margaret Arner Mds Ptr was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.