CACHE RIVER MEDICAL CLINIC
NPI 1780268235
Family Medicine in Mccrory, AR
About Cache River Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CACHE RIVER MEDICAL CLINIC (NPI 1780268235) is a healthcare organization registered as a family medicine in Mccrory, Arkansas and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Jennifer Taylor, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Cache River Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cache River Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 04D2227037
Cache River Medical Clinic · Mccrory, 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 Cache River Medical Clinic's NPI number?
The NPI number for Cache River Medical Clinic is 1780268235. It was assigned to this organization in the NPPES registry on May 11, 2021.
Where is Cache River Medical Clinic located?
Cache River Medical Clinic is located at 115 W Kimberly Drive, Mccrory, AR 72101. The listed phone number is (870) 731-0640.
What is Cache River Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cache River Medical Clinic enrolled in Medicare?
Yes. Cache River Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cache River Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cache River Medical Clinic, in Family Practice and Internal Medicine. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cache River Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2227037) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cache River Medical Clinic 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 Cache River Medical Clinic 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 Cache River Medical Clinic was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Cache River Medical Clinic · NPI 1780268235
Family Medicine organization in Mccrory, Arkansas. Organization record, active in the CMS NPPES registry since May 11, 2021.
## Identity
- **NPI:** 1780268235 (Entity type: Organization)
- **Enumerated:** May 11, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Taylor, BILLING MANAGER
## Practice location
- **Address:** 115 W KIMBERLY DRIVE, Mccrory, AR 72101
- **Phone:** (870) 731-0640
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2021
- **Other identifiers:** Other C-7761 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780268235) · Data from the CMS NPPES public registry.