LAWRENCE MEMORIAL PHYSICIAN GROUP
NPI 1962626770
General Acute Care Hospital - Critical Access in Walnut Ridge, AR
About Lawrence Memorial Physician Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAWRENCE MEMORIAL PHYSICIAN GROUP (NPI 1962626770) is a healthcare organization registered as a critical access in Walnut Ridge, Arkansas and active in the NPI registry since April 2007. The organization lists Vanessa K Wagner, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Lawrence Memorial Physician Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Lawrence Memorial Physician Group, which bills Medicare for the services they deliver. Of these, 8 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 21Source: 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 Lawrence Memorial Health Foundation Inc.'s NPI number?
The NPI number for Lawrence Memorial Health Foundation Inc. is 1962626770. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as Lawrence Memorial Physician Group.
Where is Lawrence Memorial Health Foundation Inc. located?
Lawrence Memorial Health Foundation Inc. is located at 1309 W Main St, Walnut Ridge, AR 72476. The listed phone number is (870) 886-1252.
What is Lawrence Memorial Health Foundation Inc.'s specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Lawrence Memorial Health Foundation Inc. enrolled in Medicare?
Yes. Lawrence Memorial Health Foundation Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lawrence Memorial Health Foundation Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 8 Medicare specialties reassign their Medicare billing to Lawrence Memorial Health Foundation 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 Emergency Medicine (5), Internal Medicine (5) and Family Practice (4). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lawrence Memorial Health Foundation Inc. 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 Lawrence Memorial Health Foundation Inc. 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 Lawrence Memorial Health Foundation Inc. was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lawrence Memorial Physician Group · NPI 1962626770
Critical Access organization in Walnut Ridge, Arkansas. Organization record, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1962626770 (Entity type: Organization)
- **Enumerated:** April 12, 2007
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Lawrence Memorial Health Foundation Inc.
- **Organization subpart:** No
- **Authorized official:** Vanessa Wagner, CFO
## Practice location
- **Address:** 1309 W MAIN ST, Walnut Ridge, AR 72476-1430
- **Phone:** (870) 886-1252 · **Fax:** (870) 886-3388
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (5), Internal Medicine (5), Family Practice (4); 8 practice at this address; [full list](https://npiprofile.com/npi/1962626770/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2020
- **Other identifiers:** Medicaid 103154002 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1962626770) · Data from the CMS NPPES public registry.