BAPTIST HEALTH
NPI 1689467102
Clinic/Center - Rural Health in Russellville, AR

Active since May 27, 2025CLIA Certified · 2 labs
1605 W MAIN ST STE 2719, RUSSELLVILLE, AR 72801(479) 219-5008 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2025, Jun 25, 2025, May 27, 2025 (3 updates tracked since 2025).

About Baptist Health NPPES

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

BAPTIST HEALTH (NPI 1689467102), doing business as Baptist Health Family Clinic - Russellville, is a healthcare organization registered as a rural health in Russellville, Arkansas and active in the NPI registry since May 2025. The organization holds 2 active CLIA laboratory certificates and lists Troy Wells, President, as its authorized official.

NPPES Registry Identity

NPI1689467102
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBAPTIST HEALTH
Location Address1605 W MAIN ST STE 2719Russellville, AR 72801-2719
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393
Organization SubpartNo
Authorized OfficialTroy WellsPresident · (501) 202-2080
Enumeration DateMay 27, 2025
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1689467102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1605 W MAIN ST STE 2719, Russellville, AR 72801

Other Names 1

Doing Business AsBaptist Health Family Clinic - Russellville

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)

Baptist Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Baptist Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner17
Family Practice6
Hematology/Oncology6
Medical Oncology4
Internal Medicine3
Thoracic Surgery3
Hematology2
General Surgery1
1 other specialty1

Nearest to this location (20)

See all 43
Nurse Practitioner
NPI 1346928975
1605 W MAIN ST
Russellville, AR 72801
(479) 219-5008
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457525909
1660 W C PL
Russellville, AR 72801
(479) 219-5008
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1427251776
108 SKYLINE DR
Russellville, AR 72801
(479) 968-7170
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1447460993
635 CHILDERS STREET
Lamar, AR 72846
(479) 885-3966
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1417456443
518 N FOURCHE AVE
Perryville, AR 72126
(501) 889-5543
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1609882497
313 W. MAIN STREET
Perryville, AR 72126
(501) 889-5543
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1023378783
115 WRIGHTS ST
Hot Springs, AR 71913
(501) 321-9803
✔ PECOS✔ Accepts Medicare56 mi
Nurse Practitioner
NPI 1821196445
7 SHACKLEFORD WEST BLVD
Little Rock, AR 72211
(501) 664-5860
✔ PECOS✔ Accepts Medicare57 mi
Hematology/Oncology
NPI 1376958355
9500 KANIS RD STE 500
Little Rock, AR 72205
(501) 202-4715
✔ PECOS✔ Accepts Medicare57 mi
Hematology/Oncology
NPI 1407352040
4301 W MARKHAM ST # 508
Little Rock, AR 72205
(501) 686-8000
✔ PECOS✔ Accepts Medicare60 mi
Hematology/Oncology
NPI 1831289313
4301 W MARKHAM ST # 783
Little Rock, AR 72205
(501) 686-8000
✔ PECOS✔ Accepts Medicare60 mi
Internal Medicine
NPI 1588026983
4301 W MARKHAM ST # 508
Little Rock, AR 72205
(501) 686-8530
✔ PECOS✔ Accepts Medicare60 mi
Hematology
NPI 1407232184
4301 W MARKHAM ST
Little Rock, AR 72205
(501) 686-8530
✔ PECOS✔ Accepts Medicare60 mi
Thoracic Surgery
NPI 1942562186
4301 W MARKHAM ST # 520
Little Rock, AR 72205
(501) 686-8211
✔ PECOS✔ Accepts Medicare60 mi
Thoracic Surgery
NPI 1386872695
4301 W MARKHAM ST # 520
Little Rock, AR 72205
(501) 686-8211
✔ PECOS✔ Accepts Medicare60 mi
General Surgery
NPI 1083009252
521 JACK STEPHENS DR
Little Rock, AR 72205
(501) 296-1200
✔ PECOS✔ Accepts Medicare60 mi
Internal Medicine
NPI 1487918702
3401 SPRINGHILL DR STE 130
North Little Rock, AR 72117
(501) 214-2480
✔ PECOS✔ Accepts Medicare63 mi
Medical Oncology
NPI 1760845804
3401 SPRINGHILL DR STE 130
North Little Rock, AR 72117
(501) 686-8530
✔ PECOS✔ Accepts Medicare63 mi
Medical Oncology
NPI 1336522895
3401 SPRINGHILL DR STE 130
North Little Rock, AR 72117
(501) 686-8530
✔ PECOS✔ Accepts Medicare63 mi
Family Practice
NPI 1164466603
47 HIGHWAY 64 W
Beebe, AR 72012
(501) 882-3388
✔ PECOS✔ Accepts Medicare71 mi
See all 43 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 of Waiver 04D2140355

Baptist Health Family Clinic Russellville · Russellville, AR
Active · expires Nov 19, 2027
CLIA Number04D2140355
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorDr. Lavon J. Wood
Laboratory Phone(479) 219-5008
Laboratory LocationBaptist Health Family Clinic Russellville1605 West Main Street, Russellville, AR 72801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2283833

Baptist Health Urgent Care-Russellville W Main Urgent Team Of Arkansas Physicians, LLC · Russellville, AR
Active · expires Jun 12, 2027
CLIA Number04D2283833
Laboratory TypeUrgent Care
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorJennifer D. Shipman
Laboratory Phone(479) 223-5130
Laboratory LocationBaptist Health Urgent Care-Russellville W Main Urgent Team Of Arkansas Physicians, LLC511 West Main St, Russellville, AR 72801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Baptist Health's NPI number?

The NPI number for Baptist Health is 1689467102. It was assigned to this organization in the NPPES registry on May 27, 2025. The provider is doing business as Baptist Health Family Clinic - Russellville.

Where is Baptist Health located?

Baptist Health is located at 1605 W Main St Ste 2719, Russellville, AR 72801. The listed phone number is (479) 219-5008.

What is Baptist Health's specialty?

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

Is Baptist Health enrolled in Medicare?

Yes. Baptist Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baptist Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 9 Medicare specialties reassign their Medicare billing to Baptist Health. 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 (17), Family Practice (6) and Hematology/Oncology (6). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baptist Health 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 Baptist Health 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 3 other insurers list Baptist Health 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 Baptist Health was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.