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CONWAY REGIONAL MEDICAL CLINIC-POTTSVILLE
NPI 1811446206
Clinic/Center - Rural Health in Pottsville, AR

Active since September 26, 2016
5395 W ASH ST, SUITE 2, POTTSVILLE, AR 72858(479) 880-1118(479) 219-5013 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2023, May 13, 2020, Dec 30, 2019 and 3 more (6 updates tracked since 2016).

About Conway Regional Medical Clinic-pottsville NPPES

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

CONWAY REGIONAL MEDICAL CLINIC-POTTSVILLE (NPI 1811446206) is a healthcare organization registered as a rural health in Pottsville, Arkansas and active in the NPI registry since September 2016. The organization lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811446206
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER INC.
Location Address5395 W ASH ST, SUITE 2Pottsville, AR 72858-9170
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364
Phone(479) 880-1118
Fax(479) 219-5013
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateSeptember 26, 2016
Last NPPES UpdateNovember 9, 20236 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1811446206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
5395 W ASH ST, Pottsville, AR 72858
Open in Google Maps ↗

Other Names 1

Doing Business AsConway Regional Medical Clinic-pottsville

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conway Regional Medical Clinic-pottsville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Conway Regional Medical Clinic-Pottsville, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner19
Family Practice15
Internal Medicine6
Clinical Social Worker1
Hospitalist1
Pediatric Medicine1
Psychiatry1

Nearest to this location (20)

See all 44
Katerina Devore
Nurse Practitioner
NPI 1275040511
200 N 3RD ST
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS✔ Accepts Medicare6.5 mi
Hailey Farris, M.D.
Family Practice
NPI 1447514310
200 N 3RD ST
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS✔ Accepts Medicare6.5 mi
Kathryn Parker, M.D.
Internal Medicine
NPI 1285087429
200 N 3RD ST STE 1
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS✔ Accepts Medicare6.5 mi
Hunter Ramey, MD, MPH
Pediatric Medicine
NPI 1710566955
200 N 3RD ST
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS6.5 mi
Sarah Robertson, MD
Family Practice
NPI 1649238262
101 SKYLINE DR
Russellville, AR 72801
(479) 968-2345
✔ PECOS✔ Accepts Medicare7.0 mi
Lauren Hightower, APRN
Nurse Practitioner
NPI 1750113528
108 SKYLINE DR
Russellville, AR 72801
(479) 968-7170
✔ PECOS✔ Accepts Medicare7.2 mi
Natalie Hill, ANP
Nurse Practitioner
NPI 1912399452
108 SKYLINE DR
Russellville, AR 72801
(479) 968-7170
✔ PECOS✔ Accepts Medicare7.2 mi
Crystal Kibler, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1629679279
108 SKYLINE DR
Russellville, AR 72801
(479) 968-7170
✔ PECOS✔ Accepts Medicare7.2 mi
Benjamin Bower, MD
Family Practice
NPI 1619665510
108 SKYLINE DR
Russellville, AR 72801
(479) 968-7170
✔ PECOS✔ Accepts Medicare7.2 mi
Jessica Mcneese, APN
Nurse Practitioner
NPI 1770927121
3812 WEST MAIN
Russellville, AR 72801
(479) 968-1245
✔ PECOS✔ Accepts Medicare7.2 mi
Clark Trapp, MD
Family Practice
NPI 1538556634
1711 E HARDING ST
Morrilton, AR 72110
(501) 354-4637
✔ PECOS✔ Accepts Medicare19 mi
Kristy Roberts, DO
Family Practice
NPI 1578534012
3025 FOUNTAIN DR SUITE 100
Conway, AR 72034
(501) 932-5060
✔ PECOS✔ Accepts Medicare34 mi
Keith Cooper, MD
Family Practice
NPI 1295732816
437 DENISON ST
Conway, AR 72034
(501) 327-1325
✔ PECOS✔ Accepts Medicare35 mi
Tequlia Pickrom, LMSW
Clinical Social Worker
NPI 1508010943
437 DENISON ST
Conway, AR 72034
(501) 852-1363
✔ PECOS✔ Accepts Medicare35 mi
Meghan Mallett, APRN
Nurse Practitioner
NPI 1295193191
1 MEDICAL LN
Conway, AR 72034
(501) 329-2948
✔ PECOS✔ Accepts Medicare35 mi
Stephanie Rittman, APRN
Nurse Practitioner
NPI 1730851775
2300 ROBINSON AVE
Conway, AR 72034
(501) 548-6100
✔ PECOS✔ Accepts Medicare35 mi
John Bridgforth, MD
Internal Medicine
NPI 1306307657
2302 COLLEGE AVE STE 100
Conway, AR 72034
(501) 513-5385
✔ PECOS✔ Accepts Medicare35 mi
Daniel Hester, M.D.
Internal Medicine
NPI 1962865162
2302 COLLEGE AVE STE 100
Conway, AR 72034
(501) 513-5385
✔ PECOS✔ Accepts Medicare35 mi
Kuna Tiga Fombutu Epse Okong, MD
Hospitalist
NPI 1770014490
1700 ALTUS ST
Conway, AR 72032
(501) 513-5909
✔ PECOS✔ Accepts Medicare36 mi
David Draney, D.O.
Psychiatry
NPI 1891141644
2908 HAWKINS DR
Searcy, AR 72143
(501) 203-0055
✔ PECOS76 mi
See all 44 clinicians

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

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Conway Regional Rehabilitation Hospital (CMS certification number 043033), from CMS Care Compare.

Conway Regional Rehabilitation Hospital

Inpatient rehabilitation facility · Conway, AR
OwnershipFor profit
CMS Certification Number043033
Medicare-Certified SinceDecember 17, 2004
Location2210 Robinson StreetConway, AR 72034
Phone(501) 932-3500
Freestanding rehabilitation hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation
Hip or femur fracture
46
patient stays
Stroke
43
patient stays
Hip or knee replacement, amputation or other bone or joint condition
36
patient stays
Nervous system disorder (excluding stroke)
23
patient stays
Brain injury (traumatic)
11
patient stays
Brain disease or condition (non-traumatic)
Less than 11 patient stays
Spinal cord disease or condition (non-traumatic)
Less than 11 patient stays
Spinal cord injury (traumatic)
Less than 11 patient stays
All other conditions
132
patient stays
Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found
Drug Regimen Review · 313 patient stays
99%
Patients given a current list of their medications at discharge
Transfer of Health Information to the Patient · 209 patient stays
97.6%
Medication list sent to the next provider at discharge
Transfer of Health Information to the Provider · 104 patient stays
99%
Patients who meet or exceed the self-care ability expected for their condition at discharge
Discharge Self-Care Score · 271 patient stays
71.6%
Patients who meet or exceed the mobility expected for their condition at discharge
Discharge Mobility Score · 271 patient stays
47.6%
Patients who meet or exceed the overall function expected at discharge
Discharge Function Score · 271 patient stays
67.9%
Patients who experienced one or more falls with major injury during their stay
313 patient stays · Lower rates are better for this measure.
0%
Patients with pressure ulcers or injuries that are new or worsened
Risk-adjusted rate · 313 patient stays · observed rate 2.6% · Lower rates are better for this measure.
2.4%
Healthcare workers given the influenza vaccine
65 healthcare workers
86.2%
Healthcare workers up to date on COVID-19 vaccination
49 healthcare workers
4.1%
Clostridioides difficile (C. diff) infections
0 observed infections · 1.217 predicted · 4,299 patient days
0.000
standardized infection ratio
No Different than the National Benchmark
Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community
281 of 392 patient stays · observed rate 71.68%
68.69%
risk-standardized rate
No Different than the National Rate
Potentially preventable readmissions within 30 days after discharge
26 readmissions of 367 patient stays · observed rate 7.08% · Lower rates are better for this measure.
8.56%
risk-standardized rate
No Different than the National Rate
Potentially preventable readmissions during the rehabilitation stay
18 readmissions of 411 patient stays · observed rate 4.38% · Lower rates are better for this measure.
4.91%
risk-standardized rate
No Different than the National Rate
Medicare spending per episode of care
1.00 = national average per episode of care · based on 406 episodes
0.97
spending ratio
Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

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 Conway Regional Medical Center Inc.'s NPI number?

The NPI number for Conway Regional Medical Center Inc. is 1811446206. It was assigned to this organization in the NPPES registry on September 26, 2016. The provider is doing business as Conway Regional Medical Clinic-Pottsville.

Where is Conway Regional Medical Center Inc. located?

Conway Regional Medical Center Inc. is located at 5395 W Ash St Suite 2, Pottsville, AR 72858. The listed phone number is (479) 880-1118.

What is Conway Regional Medical Center Inc.'s specialty?

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

Is Conway Regional Medical Center Inc. enrolled in Medicare?

Yes. Conway Regional Medical Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conway Regional Medical Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 7 Medicare specialties reassign their Medicare billing to Conway Regional Medical Center 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 (19), Family Practice (15) and Internal Medicine (6). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Conway Regional Medical Center Inc. a Medicare-certified inpatient rehabilitation facility?

Yes. Conway Regional Rehabilitation Hospital is a Medicare-certified inpatient rehabilitation facility (CMS certification number 043033), certified since December 17, 2004.

When was this NPI record last updated?

The NPPES record for Conway Regional Medical Center Inc. was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.