The Ridge Medical Clinic
NPI 1104506617 · Family Nurse Practitioner · Forrest City, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Ridge Medical Clinic is a Family Nurse Practitioner organization in Forrest City, AR (NPI 1104506617).
Provider details
- NPI number
- 1104506617
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Deanna Michaelis, Full Independent Practice(870) 317-5676
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Frequently asked questions
- What is The Ridge Medical Clinic's NPI number?
- The Ridge Medical Clinic's National Provider Identifier (NPI) is 1104506617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Ridge Medical Clinic?
- The Ridge Medical Clinic is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is The Ridge Medical Clinic located?
- The Ridge Medical Clinic's practice location on file with NPPES is 114 N Washington St, Forrest City, AR 72335-3327.
- What is The Ridge Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for The Ridge Medical Clinic is (870) 317-5676.
- Does The Ridge Medical Clinic accept Medicare?
- The Ridge Medical Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Ridge Medical Clinic?
- The authorized official listed on The Ridge Medical Clinic's NPPES record is Deanna Michaelis, Full Independent Practice. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Ridge Medical Clinic's NPI active?
- Yes — The Ridge Medical Clinic's NPI (1104506617) is active in the NPPES registry as of the last update on 2023-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.