MRS. MELISA RENAE DELOACH APRN
NPI 1790262228
Nurse Practitioner - Family in Rogers, AR

Q: What is Melisa Deloach's NPI number?

The NPI number for Melisa Deloach is 1790262228. It was assigned to this individual provider in the NPPES registry on July 27, 2018.

Q: What is Melisa Deloach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Melisa Deloach was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 27, 2018PECOS Enrolled

2110 W WALNUT ST, ROGERS, AR 72756(479) 202-7035(479) 202-7445 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 26, 2019, Feb 20, 2019, Jul 27, 2018 (3 updates tracked since 2018).

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About Mrs. Melisa Renae Deloach Aprn NPPES

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

MRS. MELISA RENAE DELOACH APRN (NPI 1790262228) is an individual family provider in Rogers, Arkansas, licensed in Arkansas (A005806) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790262228

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MELISA RENAE DELOACHCredential: APRN

Location Address2110 W WALNUT STRogers, AR 72756-3246

Mailing Address2301 W Pleasant Grove RdRogers, AR 72758-7033 · (479) 326-8525 · Fax (479) 202-5010

Phone(479) 202-7035

Fax(479) 202-7445

Sole ProprietorNo

Enumeration DateJuly 27, 2018

Last NPPES UpdateSeptember 22, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2023

✔ NPI 1790262228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · A005806

2110 W WALNUT ST, Rogers, AR 72756

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melisa Renae Deloach Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Melisa Deloach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Karas Family Walk In Clinic

20 mi

Primary Care

767 W NORTH ST
Fayetteville, AR 72701

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

NPI 1134542434 (479) 966-5088

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 72756 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 12

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

GIL EATON RPH

Pharmacist