MELINDA SMITH FOX NP-C
NPI 1164108304
Nurse Practitioner in Spruce Pine, NC

Q: What is Melinda Fox's NPI number?

The NPI number for Melinda Fox is 1164108304. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Q: What is Melinda Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melinda Fox was last updated on July 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 23, 2023PECOS EnrolledAccepts Medicare Assignment

189 HOSPITAL DR FL 1, SPRUCE PINE, NC 28777(828) 766-3555 Get Directions Write a Review

NPPES record last updated: July 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2024, Jun 23, 2023 (2 updates tracked since 2023).

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About Melinda Smith Fox Np-c NPPES

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

MELINDA SMITH FOX NP-C (NPI 1164108304) is an individual nurse practitioner in Spruce Pine, North Carolina, licensed in North Carolina (5018259) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1164108304

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELINDA SMITH FOXCredential: NP-C

Location Address189 HOSPITAL DR FL 1Spruce Pine, NC 28777-3035

Mailing Address142 Comfort PlBurnsville, NC 28714-2717 · (828) 284-7551

Phone(828) 766-3555

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 23, 2023

Last NPPES UpdateJuly 14, 20242 updates tracked since enumeration

NPPES CertifiedJuly 14, 2024

✔ NPI 1164108304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5018259

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5018259 (NC)

189 HOSPITAL DR FL 1, Spruce Pine, NC 28777

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Secondary Practice Location 1

Location 1430 Rankin DrMarion, NC 28752-6568 · Phone (828) 659-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Melinda Smith Fox Np-c 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 ID1052768710

PECOS Enrollment IDI20231117000772

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.

Medicare Billing Reassignments

Medicare enrollment records show Melinda Fox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Medical Group, PC

58 mi

Hospitalist

260 HOSPITAL DR
Brevard, NC 28712

Reassigned Medicare billing, North Carolina enrollment
234 clinicians in this Medicare group

NPI 1184669053 (828) 884-9111

Emergency Coverage, LLC

63 mi

Family Medicine

435 2ND ST
Newport, TN 37821

Reassigned Medicare billing, North Carolina enrollment
557 clinicians in this Medicare group

NPI 1427005008 (423) 625-2200

Hospital Physician Services - Southeast Professional Corporation

174 mi

Hospitalist

2151 W SPRING ST
Monroe, GA 30655

Reassigned Medicare billing, North Carolina enrollment
511 clinicians in this Medicare group

NPI 1760410385 (770) 267-8461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

165 services77 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

55 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

53 services28 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

49 services49 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Blue Ridge Regional Hospital

Critical Access Hospitals · Spruce Pine, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341329

Location125 Hospital DriveSpruce Pine, NC 28777 · Mitchell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28777 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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

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

BRIE ABRAM FNP-C

Nurse Practitioner (Family)

189 HOSPITAL DR FL 1
SPRUCE PINE, NC 28777

Mitchell County (828) 374-6176

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 Melinda Fox's NPI number?

The NPI number for Melinda Fox is 1164108304. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Melinda Fox located?

Melinda Fox practices at 189 Hospital Dr Fl 1, Spruce Pine, NC 28777. The listed phone number is (828) 766-3555.

What is Melinda Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melinda Fox enrolled in Medicare?

Yes. Melinda Fox 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 Melinda Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Fox reassigns Medicare benefits to 3 organizations: Southeastern Medical Group, PC (Brevard, NC), Emergency Coverage, LLC (Newport, TN) and Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). 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 Melinda Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Fox accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Melinda Fox 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.

Is Melinda Fox affiliated with any hospitals?

According to CMS data, Melinda Fox is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Blue Ridge Regional Hospital.

When was this NPI record last updated?

The NPPES record for Melinda Fox was last updated on July 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.