Baxter Regional Health System
Organization Active NPI Family Nurse Practitioner · Melbourne, AR
NPI 1154849065 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1154849065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- BAXTER REGIONAL HEALTH SYSTEM
- Practice address
- 1019 East Main Street
Melbourne, AR 72556 - Phone
- (870) 916-2150
- NPI assigned
- Aug 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Debra Henry
- Title
- Cfo
- Phone
- (870) 508-1003
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 7
Practitioners 20
-
Stacy L Armstrong, D.O.
-
Victor M. Armstrong, D.O.
-
Kristie D Branscum, APRN
-
Elisabeth Brown, NP
-
Shannon H Brownfield, M.D.
-
Beverly Clark, APRN
-
Adam C Gray, MD
-
John D Irvin, MD
-
Bethany Lane Knight, M.D.
-
Robert C Lane, M.D.
-
Fern Sherrell, APN
-
Eric G. Spann, MD
-
Donald O Wright, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Baxter Health Fulton County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2024 Dec 31, 2024 |
| Baxter Health |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2024 Dec 31, 2024 |
| Baxter Health Fulton County Family Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160324000353 | AR | Part B Supplier - Clinic/Group Practice | 0941507677 |
Receives reassigned benefits from 20 practitioners 8 other NPIs on this enrollment Practice locations: Melbourne, AR; Harrison, AR; Mountain Home, AR; Mountain View, AR; Pocahontas, AR; Salem, AR; Mammoth Spring, AR; Cave City, AR… |
National Provider Directory
- Tax ID family
- Baxter Regional Health System
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1019 East Main Street
Melbourne, AR 72556
Mailing address
1019 East Main Street
Melbourne, AR 72556
Phone (870) 916-2150
Other names
- Baxter Health Family Clinic at Melbourne
Other providers in Melbourne, AR
- Sharon Lou Arnold
- Aweverett, Inc
- Aweverett, Inc
- Coby Ayers
- Baxter County Regional Hospital, Inc
- Emily Biard
- Kennedi Blankenship
- Brad Wheelis Family Dentistry PLLC
- Erica Bradley
- David Luke Brightwell
All providers in Melbourne, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.