Baxter Regional Health System
NPI 1154849065ActiveOrganization· Nurse Practitioner, Family· Melbourne, AR
Nurse Practitioner, Family in Melbourne, Arkansas, registered in NPPES in August 2017. The authorized official on file is Debra Henry, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154849065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2017 |
| Last updated in NPPES | May 13, 2025 |
| Certified by provider | May 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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