Individual provider Active NPI

Ann K Passmore, MD

  • Plastic Surgery Physician
  • Fort Smith, AR
National Provider Identifier
1760400477
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C-7956 Issued in AR
Practice address
8101 McClure Dr Ste 100
Fort Smith, AR 72916-6044
Phone
(479) 242-2442
Fax
(479) 242-2440
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X C-7956 AR Primary

Addresses

Primary practice location

8101 McClure Dr Ste 100
Fort Smith, AR 72916-6044

Mailing address

8101 McClure Dr
Fort Smith, AR 72916-6057
Phone (479) 242-2442

Other identifiers 2

IdentifierTypeStateIssuer
131621001MedicaidAR
240005038OtherRR MEDICARE

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
I20050112000747 AR Practitioner - Plastic and Reconstructive Surgery 4981653383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Arkansas College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7805 Phoenix Ave
Fort Smith, AR 72903-5091
Phone (479) 242-2442

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision22
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Passmore Plastic Surgery LLC Plastic Surgery CurrentSince Aug 14, 2020 Accepting new patients
Arkansas Center for Ear Nose Throat & Allergy PA CurrentSince Aug 14, 2020 Accepting new patients

Locations

7805 Phoenix Ave
Fort Smith, AR 72903
Phone (479) 242-2442

8101 McClure Dr
Ste 100
Fort Smith, AR 72916
Phone (479) 242-2442

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1760400477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 MCCLURE DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166057",
            "telephone_number": "479-242-2442",
            "fax_number": "479-424-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 MCCLURE DR STE 100",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166044",
            "telephone_number": "479-242-2442",
            "fax_number": "479-242-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMORE",
        "first_name": "ANN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AR",
            "license": "C-7956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131621001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "240005038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.