Individual provider Active NPI

Melanie L. Myers, P.A.

  • Physician Assistant
  • Fort Smith, AR
National Provider Identifier
1841616604
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-936 Issued in AR
Practice address
7900 Dallas Street
Fort Smith, AR 72903-5690
Phone
(479) 242-6647
Fax
(479) 250-0505
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200667 LA
Physician Assistant 363A00000X PA-936 AR Primary

Addresses

Primary practice location

7900 Dallas Street
Fort Smith, AR 72903-5690

Mailing address

7900 Dallas Street
Fort Smith, AR 72903-1644
Phone (479) 242-6647

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029002174 AR Practitioner - Physician Assistant 0446660690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Center PLLCGroup PAC ID 5799842845, 7 clinicians

Practice addresses (Care Compare)

7900 Dallas St
Fort Smith, AR 72903-5690
Phone (479) 242-6647

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-936ARMDPhysician Assistant
PA.200667LAMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1841616604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 DALLAS STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729031644",
            "telephone_number": "479-242-6647",
            "fax_number": "479-250-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 DALLAS STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035690",
            "telephone_number": "479-242-6647",
            "fax_number": "479-250-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MELANIE",
        "middle_name": "L.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200667",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.