AMANDA L MCMELLON DO
NPI 1134879513
Family Medicine in Fort Smith, AR

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
612 S 12TH ST, FORT SMITH, AR 72901(479) 785-2431(479) 785-0732 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Feb 6, 2025 (2 updates tracked since 2025).

About Amanda L Mcmellon Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA L MCMELLON DO (NPI 1134879513) is an individual family medicine provider in Fort Smith, Arkansas, licensed in Arkansas (E-17363) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Smith, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134879513
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMANDA L MCMELLONCredential: DO
Location Address612 S 12TH STFort Smith, AR 72901-4702
Mailing Address612 S 12th StFort Smith, AR 72901-4702 · (479) 785-2431 · Fax (479) 785-0732
Fax(479) 785-0732
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2022
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1134879513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · E-17363
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
612 S 12TH ST, Fort Smith, AR 72901

Secondary Practice Location 1

Location 11301 S E StFort Smith, AR 72901-4716 · Phone (479) 785-2431 · Fax (479) 494-7787

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda L Mcmellon Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052798022
PECOS Enrollment IDI20250221003594
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901
Student in an Organized Health Care Education/Training Program
612 S 12TH ST
FORT SMITH, AR 72901
Student in an Organized Health Care Education/Training Program
612 S 12TH ST
FORT SMITH, AR 72901
Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901
Nurse Practitioner
612 S 12TH ST
FORT SMITH, AR 72901
Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901
Counselor (Mental Health)
612 S 12TH ST
FORT SMITH, AR 72901
Student in an Organized Health Care Education/Training Program
612 S 12TH ST
FORT SMITH, AR 72901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mcmellon's NPI number?

The NPI number for Amanda Mcmellon is 1134879513. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Amanda Mcmellon located?

Amanda Mcmellon practices at 612 S 12th St, Fort Smith, AR 72901. The listed phone number is (479) 785-2431.

What is Amanda Mcmellon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amanda Mcmellon enrolled in Medicare?

Yes. Amanda Mcmellon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Mcmellon accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Amanda Mcmellon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Mcmellon was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.