Melisa Renae Deloach, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005806 Issued in AR

Practice address

2110 W Walnut St
Rogers, AR 72756-3246

Phone

(479) 202-7035

Fax

(479) 202-7445

NPI assigned

Jul 27, 2018

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Karas Family Walk in Clinic

  • Primary Care Clinic/Center
  • Fayetteville, AR
  • NPI 1134542434
  Medicare reassignment NPD
• WH Ar Medical PLLC

  dba Walmart Health Virtual Care

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1235861147
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1790262228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W PLEASANT GROVE RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587033",
            "telephone_number": "479-326-8525",
            "fax_number": "479-202-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563246",
            "telephone_number": "479-202-7035",
            "fax_number": "479-202-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "MELISA",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah H Dawes, PH.D., Inc.
• Keenan R Decker, D.M.D.
• Declerk Family Medicine, PLLC
• George Ryan Declerk, M.D.
• Maximiliano Delgado, RBT
• Delta Medical Group Inc
• Rebecca Demoff, PTA
• Mackenzie Dempsey, PT, DPT
• Karsun Paige Deneen
• Jamie Denison

• Family Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.