COMMUNITY CLINIC PEA RIDGE
NPI 1669099073
Clinic/Center - Federally Qualified Health Center (FQHC) in Pea Ridge, AR

Active since July 01, 2020CLIA Certified · 2 labs
1923 W PICKENS ROAD, PEA RIDGE, AR 72751(479) 751-7417(479) 751-4898 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2020, Jul 1, 2020 (2 updates tracked since 2020).

About Community Clinic Pea Ridge NPPES

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

COMMUNITY CLINIC PEA RIDGE (NPI 1669099073) is a healthcare organization registered as a federally qualified health center (fqhc) in Pea Ridge, Arkansas and active in the NPI registry since July 2020. The organization holds 2 active CLIA laboratory certificates and lists James Semingson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669099073
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST FRANCIS HOUSE NWA, INC
Location Address1923 W PICKENS ROADPea Ridge, AR 72751
Mailing Address614 E Emma Ave Ste 300Springdale, AR 72764-4469 · (479) 751-7417
Fax(479) 751-4898
Organization SubpartNo
Authorized OfficialJames SemingsonCeo · (479) 751-7417
Enumeration DateJuly 1, 2020
Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1669099073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1923 W PICKENS ROAD, Pea Ridge, AR 72751

Other Names 1

Doing Business AsCommunity Clinic Pea Ridge

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)

Community Clinic Pea Ridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

80

Medicare enrollment records show 80 clinicians reassign Medicare billing to Community Clinic Pea Ridge, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner51
Family Practice10
Certified Nurse Midwife (CNM)4
Clinical Social Worker4
Pediatric Medicine4
Internal Medicine2
Geriatric Psychiatry1
Mental Health Counselor1
3 other specialties3

Nearest to this location (20)

See all 80
Nurse Practitioner
NPI 1427772714
225 N EAST AVE
Fayetteville, AR 72701
(877) 522-1275
✔ PECOS✔ Accepts Medicare7.1 mi
Certified Nurse Midwife (CNM)
NPI 1194423327
10748 W HIGH MEADOWS DR
Rogers, AR 72756
(479) 595-5484
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1013695469
1233 W POPLAR ST
Rogers, AR 72756
(479) 636-9235
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1376205419
1233 W POPLAR ST
Rogers, AR 72756
(479) 636-9235
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1629527940
1233 W POPLAR ST
Rogers, AR 72756
(479) 636-9235
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1487375622
1233 W POPLAR ST
Rogers, AR 72756
(479) 636-9235
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1225292592
1233 W POPLAR ST
Rogers, AR 72756
(479) 636-9235
✔ PECOS8.6 mi
Nurse Practitioner
NPI 1518582154
1233 W POPLAR ST
Rogers, AR 72756
(479) 636-9235
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1396551412
1233 W POPLAR ST
Rogers, AR 72756
(479) 636-9235
✔ PECOS✔ Accepts Medicare8.6 mi
Pediatric Medicine
NPI 1811955974
1223 W POPLAR ST
Rogers, AR 72756
(479) 636-9235
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1578134946
2110 W WALNUT ST STE 100
Rogers, AR 72756
(479) 877-7820
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1720575467
2708 S RIFE MEDICAL LN STE 220
Rogers, AR 72758
(479) 338-4400
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1144664384
314 E CENTERTON BLVD
Centerton, AR 72719
(479) 751-7417
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1578501300
213 W MONROE AVE SUITE P
Lowell, AR 72745
(479) 770-0221
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1659199503
2811 W HUNTSVILLE AVE STE 1016
Springdale, AR 72762
(479) 334-4657
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1659639664
614 E EMMA AVE SUITE 300
Springdale, AR 72764
(479) 751-7417
✔ PECOS✔ Accepts Medicare19 mi
Clinical Social Worker
NPI 1548440514
614 E EMMA AVE SUITE 300
Springdale, AR 72764
(479) 751-7417
✔ PECOS✔ Accepts Medicare19 mi
Certified Nurse Midwife (CNM)
NPI 1013459981
614 E EMMA AVE STE 300
Springdale, AR 72764
(479) 751-7417
✔ PECOS✔ Accepts Medicare19 mi
Pediatric Medicine
NPI 1356652630
614 E EMMA AVENUE SUITE 300
Springdale, AR 72764
(479) 751-7417
✔ PECOS19 mi
Sports Medicine
NPI 1982082038
201 WEST VAN ASCHE DR
Fayetteville, AR 72703
(479) 966-4491
✔ PECOS✔ Accepts Medicare23 mi
See all 80 clinicians

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 2

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) 04D2190190

Community Clinic Pea Ridge · Pea Ridge, AR
Active · expires Aug 10, 2028
CLIA Number04D2190190
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 11, 2026
Certificate Expiration DateAugust 10, 2028
Laboratory DirectorDr. Sheldon Riklon
Laboratory Phone(479) 751-7417
Laboratory LocationCommunity Clinic Pea Ridge1923 W Pickens Road, Pea Ridge, AR 72751
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.

Certificate of Compliance 04D1080274

Community Clinic - Rogers Medical · Rogers, AR
Active · expires Feb 13, 2027
CLIA Number04D1080274
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorWilliam E. West Jr
Laboratory Phone(479) 751-7417
Laboratory LocationCommunity Clinic - Rogers Medical1233 W Poplar, Rogers, AR 72756
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 St Francis House Nwa, Inc's NPI number?

The NPI number for St Francis House Nwa, Inc is 1669099073. It was assigned to this organization in the NPPES registry on July 1, 2020. The provider is doing business as Community Clinic Pea Ridge.

Where is St Francis House Nwa, Inc located?

St Francis House Nwa, Inc is located at 1923 W Pickens Road, Pea Ridge, AR 72751. The listed phone number is (479) 751-7417.

What is St Francis House Nwa, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is St Francis House Nwa, Inc enrolled in Medicare?

Yes. St Francis House Nwa, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Francis House Nwa, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 80 clinicians in 11 Medicare specialties reassign their Medicare billing to St Francis House Nwa, 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 Nurse Practitioner (51), Family Practice (10) and Certified Nurse Midwife (CNM) (4). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St Francis House Nwa, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St Francis House Nwa, Inc accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list St Francis House Nwa, 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 St Francis House Nwa, Inc was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.