BAPTIST HEALTH FAMILY CLINIC OTTER CREEK
NPI 1649518333
Family Medicine in Little Rock, AR
About Baptist Health Family Clinic Otter Creek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAPTIST HEALTH FAMILY CLINIC OTTER CREEK (NPI 1649518333) is a healthcare organization registered as a family medicine in Little Rock, Arkansas and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Will L Rusher, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted 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)
Baptist Health Family Clinic Otter Creek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Baptist Health Family Clinic Otter Creek, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Little Rock, AR 72209
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 04D0725053
Baptist Health Family Clinic Otter Creek · 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 Arkansas Health Group's NPI number?
The NPI number for Arkansas Health Group is 1649518333. It was assigned to this organization in the NPPES registry on January 30, 2013. The provider is doing business as Baptist Health Family Clinic Otter Creek.
Where is Arkansas Health Group located?
Arkansas Health Group is located at 11321 Interstate 30 Ste 101, Little Rock, AR 72209. The listed phone number is (501) 455-1331.
What is Arkansas Health Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Arkansas Health Group enrolled in Medicare?
Yes. Arkansas Health Group is registered in the Medicare PECOS enrollment system.
When is Arkansas Health Group'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 January 31, 2027. 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 Arkansas Health Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Arkansas Health Group. 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), Family Practice (2) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Arkansas Health Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D0725053) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Arkansas Health Group 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 Arkansas Health Group 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 Arkansas Health Group was last updated on April 11, 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.
# Baptist Health Family Clinic Otter Creek · NPI 1649518333
Family Medicine organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since January 30, 2013.
## Identity
- **NPI:** 1649518333 (Entity type: Organization)
- **Enumerated:** January 30, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Arkansas Health Group
- **Organization subpart:** No
- **Authorized official:** Will Rusher, CEO
## Practice location
- **Address:** 11321 INTERSTATE 30 STE 101, Little Rock, AR 72209-7064
- **Phone:** (501) 455-1331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2019
- **Other identifiers:** Medicaid 110127001 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649518333) · Data from the CMS NPPES public registry.