Individual provider Active NPI

Chelsea Jones Meltzer, M.D.

  • Dermatology Physician
  • Fort Smith, AR
National Provider Identifier
1255788352
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E-12970 Issued in AR
Practice address
5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone
(479) 649-3376
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 32264 OK
Dermatology Physician 207N00000X E-12970 AR Primary

Addresses

Primary practice location

5921 Riley Park Dr
Fort Smith, AR 72916-6103

Mailing address

5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone (405) 271-6110

Other names 1

  • Chelsea Coats Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707000038 AR Practitioner - Dermatology 6608146725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Dermatology Clinic PLLCGroup PAC ID 4789688615, 11 clinicians

Practice addresses (Care Compare)

5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone (479) 649-3376

Merit-based Incentive Payment System (MIPS)

Final score
84.81 of 100Reported as group
Quality
82.93
Improvement activities
40
Cost
72.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision147
Removal of skin lesions934
Removal of skin cancer161
Removal or shaving of skin growth25
Skin biopsy293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-12970ARMDDermatology Physician
32264OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Dermatology Clinic PLLC Dermatology CurrentSince Aug 17, 2020 Accepting new patients

Locations

5921 Riley Park Dr
Fort Smith, AR 72916
Phone (479) 649-3376

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1255788352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 RILEY PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166103",
            "telephone_number": "405-271-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 RILEY PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166103",
            "telephone_number": "479-649-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "CHELSEA",
        "middle_name": "JONES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "32264",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E-12970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "JONES",
            "middle_name": "COATS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.