MELISSA MAYBURY NP
NPI 1710344981
Nurse Practitioner - Psychiatric/Mental Health in Gravette, AR

Q: What is Melissa Maybury's NPI number?

The NPI number for Melissa Maybury is 1710344981. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Q: What is Melissa Maybury's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Maybury was last updated on September 5, 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 January 19, 2016PECOS EnrolledAccepts Medicare Assignment

1101 JACKSON ST SW, GRAVETTE, AR 72736(479) 787-5291(479) 344-6720 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2024, Aug 14, 2024, Jan 20, 2016 (3 updates tracked since 2016).

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About Melissa Maybury Np NPPES

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

MELISSA MAYBURY NP (NPI 1710344981) is an individual psychiatric/mental health provider in Gravette, Arkansas, licensed in Arkansas (A004614) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bentonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710344981

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMELISSA MAYBURYCredential: NP

Location Address1101 JACKSON ST SWGravette, AR 72736-9121

Mailing Address1101 Jackson St SwGravette, AR 72736-9121 · (479) 787-5291 · Fax (479) 344-6404

Phone(479) 787-5291

Fax(479) 344-6720

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 19, 2016

Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1710344981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AR · A004614

Also ListedNurse PractitionerTaxonomy 363L00000X · License A004614 (AR)

1101 JACKSON ST SW, Gravette, AR 72736

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Secondary Practice Location 1

Location 13000 Medical Center PkwyBentonville, AR 72712-3217 · Phone (479) 553-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.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

Melissa Maybury Np 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 ID9931402625

PECOS Enrollment IDI20160130000112

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 Melissa Maybury reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sgoh Acquisition Inc

Same address

Critical Access

1101 JACKSON ST SW
Gravette, AR 72736

Reassigned Medicare billing, Arkansas enrollment
39 clinicians in this Medicare group

NPI 1568643005 (479) 787-5291

Uhs Of Springwoods LLC

26 mi

Psychiatric Hospital

1955 W TRUCKERS DR
Fayetteville, AR 72704

Reassigned Medicare billing, Arkansas enrollment
25 clinicians in this Medicare group

NPI 1790925972 (479) 973-6000

Texarkana Behavioral Associates Lc

27 mi

Psychiatry

4253 N CROSSOVER RD
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
52 clinicians in this Medicare group

NPI 1114040888 (479) 521-5731

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 2

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72736 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.

DR. DAVID JOHN TUCKER MD

Family Medicine