AMANDA L MCMELLON DO
NPI 1134879513
Family Medicine in Fort Smith, AR
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 University Of Arkansas College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Amanda Mcmellon reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 78 clinicians in this Medicare group
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 23 clinicians in this Medicare group
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 658 clinicians in this Medicare group
Mansfield, AR 72944
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1912978875 (Arkansas)
- 137 clinicians in this Medicare group
Booneville, AR 72927
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1992133714 (Arkansas)
- 146 clinicians in this Medicare group
Ozark, AR 72949
- Reassigned Medicare billing, Arkansas enrollment
- 112 clinicians in this Medicare group
Paris, AR 72855
- Reassigned Medicare billing, Arkansas enrollment
- 159 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Rocket Doctor Practice Group PC
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
FORT SMITH, AR 72901
FORT SMITH, AR 72901
FORT SMITH, AR 72901
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.
Which organizations bill Medicare for Amanda Mcmellon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Mcmellon reassigns Medicare benefits to 8 organizations: Sebastian Physician Services, PLLC (Fort Smith, AR), University Of Arkansas For Medical Sciences (Fort Smith, AR), Mercy Clinic Fort Smith Communities (Fort Smith, AR), Mercy Hospital Waldron (Mansfield, AR), Mercy Hospital Booneville (Booneville, AR) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Mcmellon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Mcmellon accept?
Health plans from 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 12 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.
# Amanda L Mcmellon, DO · NPI 1134879513
Family Medicine physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1134879513 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E-17363 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 612 S 12TH ST, Fort Smith, AR 72901-4702
- **Phone:** (479) 785-2431 · **Fax:** (479) 785-0732
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Sebastian Physician Services, PLLC (NPI 1255110110, Fort Smith, AR); University Of Arkansas For Medical Sciences (NPI 1831193531, Fort Smith, AR); Mercy Clinic Fort Smith Communities (NPI 1902073620, Fort Smith, AR); Mercy Hospital Waldron (NPI 1295774917, Mansfield, AR); Mercy Hospital Booneville (NPI 1427486794, Booneville, AR); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** October 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1134879513) · Data from the CMS NPPES public registry.