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MRS. MELANIE KRISTIN SUTTON APRN
NPI 1770695223
Nurse Practitioner in Springdale, AR

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
4600 MERCY LN STE 210, SPRINGDALE, AR 72762(479) 347-3809(479) 338-4607 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Melanie Kristin Sutton Aprn NPPES

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

MRS. MELANIE KRISTIN SUTTON APRN (NPI 1770695223) is an individual nurse practitioner in Springdale, Arkansas, licensed in Arkansas (A002997) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1770695223
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MELANIE KRISTIN SUTTONCredential: APRN
Location Address4600 MERCY LN STE 210Springdale, AR 72762-3070
Mailing Address4600 Mercy Ln Ste 210Springdale, AR 72762-3070 · (479) 347-3809 · Fax (479) 338-4607
Phone(479) 347-3809
Fax(479) 338-4607
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1770695223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · A002997
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.
4600 MERCY LN STE 210, Springdale, AR 72762
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Secondary Practice Locations 2

Location 14301 Greathouse Springs Rd, Ste 100Springdale, AR 72762 · Phone (479) 757-1730
Location 23333 Pinnacle Hills Pkwy Ste 300-BRogers, AR 72758-9100 · Phone (479) 338-4600 · Fax (479) 338-4607

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Mrs. Melanie Kristin Sutton Aprn 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 ID4284626805
PECOS Enrollment IDI20070723000177
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services97 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
94 services71 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
49 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72762 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers63 claims807 services$17.56 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers62 claims1,825 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers36 claims87 services$5.95 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers28 claims28 services$301.89 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
13 suppliers68 claims4,840 services$6.48 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
19 suppliers680 claims685 services$184.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Melanie Sutton's NPI number?

The NPI number for Melanie Sutton is 1770695223. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Melanie Sutton located?

Melanie Sutton practices at 4600 Mercy Ln Ste 210, Springdale, AR 72762. The listed phone number is (479) 347-3809.

What is Melanie Sutton's specialty?

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

Is Melanie Sutton enrolled in Medicare?

Yes. Melanie Sutton 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 Melanie Sutton accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Melanie Sutton 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 Melanie Sutton was last updated on June 15, 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.