BAXTER HEALTH UROLOGY CLINIC
NPI 1982450706
Urology in Mountain Home, AR
About Baxter Health Urology Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAXTER HEALTH UROLOGY CLINIC (NPI 1982450706) is a healthcare organization registered as an urology in Mountain Home, Arkansas and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Debra Henry, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Baxter Health Urology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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.
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Baxter Health Urology Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 23Source: 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 04D2305213
Baxter Health Urology Clinic · Mountain Home, 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 Baxter Regional Enterprises, LLC's NPI number?
The NPI number for Baxter Regional Enterprises, LLC is 1982450706. It was assigned to this organization in the NPPES registry on April 24, 2024. The provider is doing business as Baxter Health Urology Clinic.
Where is Baxter Regional Enterprises, LLC located?
Baxter Regional Enterprises, LLC is located at 15 Green Valley Dr Ste 100, Mountain Home, AR 72653. The listed phone number is (870) 701-0490.
What is Baxter Regional Enterprises, LLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Baxter Regional Enterprises, LLC enrolled in Medicare?
Yes. Baxter Regional Enterprises, LLC is registered in the Medicare PECOS enrollment system.
When is Baxter Regional Enterprises, LLC'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 March 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 Baxter Regional Enterprises, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 7 Medicare specialties reassign their Medicare billing to Baxter Regional Enterprises, 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 Cardiovascular Disease (Cardiology) (8), Nurse Practitioner (8) and Interventional Cardiology (2). Of these, 1 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Baxter Regional Enterprises, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2305213) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Baxter Regional Enterprises, LLC was last updated on April 24, 2024. 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.
# Baxter Health Urology Clinic · NPI 1982450706
Urology organization in Mountain Home, Arkansas. Organization record, active in the CMS NPPES registry since April 24, 2024.
## Identity
- **NPI:** 1982450706 (Entity type: Organization)
- **Enumerated:** April 24, 2024
- **Primary specialty:** Urology · taxonomy 208800000X
- **Legal business name:** Baxter Regional Enterprises, Llc
- **Organization subpart:** No
- **Authorized official:** Debra Henry, CFO
## Practice location
- **Address:** 15 GREEN VALLEY DR STE 100, Mountain Home, AR 72653-8102
- **Phone:** (870) 701-0490 · **Fax:** (870) 701-0491
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 23 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (8), Nurse Practitioner (8), Interventional Cardiology (2); 1 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1982450706/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982450706) · Data from the CMS NPPES public registry.