BAPTIST HEALTH FAMILY CLINIC PROTHO
NPI 1710225545
Clinic/Center - Primary Care in North Little Rock, AR

Active since January 29, 2013
5207 E BROADWAY ST, NORTH LITTLE ROCK, AR 72117(501) 945-2033(501) 945-2303 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Baptist Health Family Clinic Protho NPPES

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

BAPTIST HEALTH FAMILY CLINIC PROTHO (NPI 1710225545) is a healthcare organization registered as a primary care in North Little Rock, Arkansas and active in the NPI registry since January 2013. The organization lists Will Rusher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710225545
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBAPTIST HEALTH FAMILY CLINIC PROTHO
Location Address5207 E BROADWAY STNorth Little Rock, AR 72117-4029
Mailing Address11001 Executive Center Dr, Suite 200Little Rock, AR 72211-4316 · (501) 812-7512 · Fax (501) 812-7507
Fax(501) 945-2303
Organization SubpartYesParent: Arkansas Health Group
Authorized OfficialWill RusherCeo · (501) 812-7512
Enumeration DateJanuary 29, 2013
✔ NPI 1710225545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AR · R2917
5207 E BROADWAY ST, North Little Rock, AR 72117

Other Identifiers 2

Medicaid1048721002AR
Medicare UPINB90483AR

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 Protho 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.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20100504000229Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Baptist Health Family Clinic Protho, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Family Practice
NPI 1649846460
11321 INTERSTATE 30 STE 101
Little Rock, AR 72209
(501) 455-1331
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1205362969
11321 INTERSTATE 30 SUITE 101
Little Rock, AR 72209
(501) 455-1331
✔ PECOS14 mi
Internal Medicine
NPI 1053348870
11321 INTERSTATE 30 SUITE 101
Little Rock, AR 72209
(501) 455-1331
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1962825562
105 N JACKSON ST
Cabot, AR 72023
(501) 941-3522
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1144672825
112 N MAIN ST
Benton, AR 72015
(501) 778-5740
✔ PECOS26 mi
Nurse Practitioner
NPI 1790191914
11235 STATE ROUTE 38 SE
London, OH 43140
(501) 733-9902
✔ PECOS591 mi
Family Practice
NPI 1669812178
3540 N PINE ISLAND RD
Sunrise, FL 33351
(954) 491-8676
✔ PECOS✔ Accepts Medicare925 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Clinic Protho's NPI number?

The NPI number for Baptist Health Family Clinic Protho is 1710225545. It was assigned to this organization in the NPPES registry on January 29, 2013.

Where is Baptist Health Family Clinic Protho located?

Baptist Health Family Clinic Protho is located at 5207 E Broadway St, North Little Rock, AR 72117. The listed phone number is (501) 945-2033.

What is Baptist Health Family Clinic Protho's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Baptist Health Family Clinic Protho enrolled in Medicare?

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

When is Baptist Health Family Clinic Protho'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 Baptist Health Family Clinic Protho?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Baptist Health Family Clinic Protho. 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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Baptist Health Family Clinic Protho was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.