DIVINE MERCY HEALTH CENTER
NPI 1609661305
Family Medicine in Little Rock, AR
About Divine Mercy Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE MERCY HEALTH CENTER (NPI 1609661305) is a healthcare organization registered as a family medicine in Little Rock, Arkansas and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Lee Wilbur, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divine Mercy Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Divine Mercy Health Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 04D2330306
Divine Mercy Health Center · Little Rock, 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 Divine Mercy Health Center's NPI number?
The NPI number for Divine Mercy Health Center is 1609661305. It was assigned to this organization in the NPPES registry on April 12, 2025.
Where is Divine Mercy Health Center located?
Divine Mercy Health Center is located at 6221 Colonel Glenn Rd Ste B, Little Rock, AR 72204. The listed phone number is (501) 441-5558.
What is Divine Mercy Health Center's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Divine Mercy Health Center enrolled in Medicare?
Yes. Divine Mercy Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Mercy Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Divine Mercy Health Center. 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 (4), Emergency Medicine (1) and Family Practice (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Divine Mercy Health Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2330306) is associated with this NPI, valid through September 14, 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 Divine Mercy Health Center was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Divine Mercy Health Center · NPI 1609661305
Family Medicine organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since April 12, 2025.
## Identity
- **NPI:** 1609661305 (Entity type: Organization)
- **Enumerated:** April 12, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Lee Wilbur, MANAGING MEMBER
## Practice location
- **Address:** 6221 COLONEL GLENN RD STE B, Little Rock, AR 72204-7731
- **Phone:** (501) 441-5558
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Emergency Medicine (1), Family Practice (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609661305) · Data from the CMS NPPES public registry.