DR. JACK ZEPEDA MD, MPH
NPI 1184192510
Family Medicine in Fort Smith, AR
About Dr. Jack Zepeda Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK ZEPEDA MD, MPH (NPI 1184192510) is an individual family medicine provider in Fort Smith, Arkansas, licensed in Arkansas (E-13916) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and maintains a secondary practice location in Fort Walton Beach.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 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
Dr. Jack Zepeda Md, Mph 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
22Medicare enrollment records show Jack Zepeda reassigns Medicare billing to 22 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
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
- Also billed through NPI 1760453633 (Arkansas)
- 159 clinicians in this Medicare group
Hope, AR 71801
- Reassigned Medicare billing, Arkansas enrollment
- 323 clinicians in this Medicare group
Fordyce, AR 71742
- Reassigned Medicare billing, Arkansas enrollment
- 125 clinicians in this Medicare group
Fordyce, AR 71742
- Reassigned Medicare billing, Arkansas enrollment
- 121 clinicians in this Medicare group
Magnolia, AR 71753
- Reassigned Medicare billing, Arkansas enrollment
- 106 clinicians in this Medicare group
Monticello, AR 71655
- Reassigned Medicare billing, Arkansas enrollment
- 126 clinicians in this Medicare group
Crossett, AR 71635
- Reassigned Medicare billing, Arkansas enrollment
- 152 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Manatee Memorial Hospital
Acute Care Hospitals · Bradenton, FLShorepoint Health Port Charlotte
Acute Care Hospitals · Port Charlotte, FLSanta Rosa Medical Center
Acute Care Hospitals · Milton, FLHca Florida Englewood Hospital
Acute Care Hospitals · Englewood, FLPhysician 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 18
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
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 Jack Zepeda's NPI number?
The NPI number for Jack Zepeda is 1184192510. It was assigned to this individual provider in the NPPES registry on November 3, 2018.
Where is Jack Zepeda located?
Jack Zepeda practices at 1301 S E St, Fort Smith, AR 72901. The listed phone number is (479) 785-2431.
What is Jack Zepeda's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jack Zepeda enrolled in Medicare?
Yes. Jack Zepeda 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 Jack Zepeda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Zepeda reassigns Medicare benefits to 22 organizations: Mercy Hospital Waldron (Mansfield, AR), Mercy Hospital Booneville (Booneville, AR), Mercy Hospital Ozark (Ozark, AR), Mercy Hospital Paris (Paris, AR), Arkansas Emergency Staffing Solutions, Inc (Hope, AR) and 17 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 Jack Zepeda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Zepeda accept?
Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Health Advantage, Octave and Oscar Health Maintenance Organization of Florida and 1 other insurer list Jack Zepeda 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 Jack Zepeda affiliated with any hospitals?
According to CMS data, Jack Zepeda is affiliated with Manatee Memorial Hospital, Shorepoint Health Port Charlotte, Santa Rosa Medical Center and Hca Florida Englewood Hospital.
When was this NPI record last updated?
The NPPES record for Jack Zepeda was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jack Zepeda, MD, MPH · NPI 1184192510
Family Medicine physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since November 3, 2018.
## Identity
- **NPI:** 1184192510 (Entity type: Individual)
- **Enumerated:** November 3, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E-13916 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1301 S E ST, Fort Smith, AR 72901-4716
- **Phone:** (479) 785-2431
## 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:** 22 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital Waldron (NPI 1295774917, Mansfield, AR); Mercy Hospital Booneville (NPI 1427486794, Booneville, AR); Mercy Hospital Ozark (NPI 1275504128, Ozark, AR); Mercy Hospital Paris (NPI 1881106243, Paris, AR); Arkansas Emergency Staffing Solutions, Inc (NPI 1275774630, Hope, AR); and 17 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184192510) · Data from the CMS NPPES public registry.