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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COAST TO COAST MEDICAL, LLC
NPI 1740214402
Family Medicine in West Memphis, AR

Active since July 10, 2006CLIA 04D0958040 · Waiver
710 N MISSOURI ST, WEST MEMPHIS, AR 72301(870) 732-0332(870) 732-3078 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, May 22, 2026 (2 updates tracked since 2026).

About Coast To Coast Medical, Llc NPPES

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

COAST TO COAST MEDICAL, LLC (NPI 1740214402) is a healthcare organization registered as a family medicine in West Memphis, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Lance Michael Harrell, Owner Provider, as its authorized official.

NPPES Registry Identity

NPI1740214402
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOAST TO COAST MEDICAL, LLC
Location Address710 N MISSOURI STWest Memphis, AR 72301-3150
Mailing Address710 N Missouri StWest Memphis, AR 72301-3150 · (870) 732-0332 · Fax (870) 732-3078
Phone(870) 732-0332
Fax(870) 732-3078
Organization SubpartNo
Authorized OfficialLance Michael HarrellOwner Provider · (870) 732-0332
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1740214402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
710 N MISSOURI ST, West Memphis, AR 72301
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Other Identifiers 3

Medicaid360815002AR
Other5C471AR · Ar Bcbs Group #
Medicaid205862762AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Coast To Coast Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Coast To Coast Medical, LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Leah Carlson
Nurse Practitioner
NPI 1942977301
2201 HORIZAN RD STE 4
West Memphis, AR 72301
(870) 732-0332
✔ PECOS0.7 mi
Shakeb Hashmi, MD
Internal Medicine
NPI 1013958909
200 W TYLER AVE CRITTENDEN REGIONAL HOSPITAL
West Memphis, AR 72301
(870) 735-1500
✔ PECOS0.7 mi
Lance Harrell, APN - BC
Nurse Practitioner
NPI 1447407671
2201 HORIZON DR. STE. 4
West Memphis, AR 72301
(870) 732-0332
✔ PECOS1.4 mi
Victoria Hollis, DNP FNP-C
Nurse Practitioner
NPI 1639781396
136 BLOCK ST
Marion, AR 72364
(870) 559-2314
✔ PECOS3.9 mi

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 04D0958040

Coast To Coast Medical · West Memphis, AR
Active · expires Mar 8, 2027
CLIA Number04D0958040
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorLance M. Harrell
Laboratory Phone(870) 732-0332
Laboratory LocationCoast To Coast Medical710 North Missouri Street, West Memphis, AR 72301
CLIA data matches this NPI record on: Address Name Phone
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 Coast To Coast Medical, LLC's NPI number?

The NPI number for Coast To Coast Medical, LLC is 1740214402. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Coast To Coast Medical, LLC located?

Coast To Coast Medical, LLC is located at 710 N Missouri St, West Memphis, AR 72301. The listed phone number is (870) 732-0332.

What is Coast To Coast Medical, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Coast To Coast Medical, LLC enrolled in Medicare?

Yes. Coast To Coast Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coast To Coast Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Coast To Coast Medical, LLC. 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 (3) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coast To Coast Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0958040) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coast To Coast Medical, LLC 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 Coast To Coast Medical, LLC 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 Coast To Coast Medical, LLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.