MELINDA BLAKE APRN
NPI 1801726674
Nurse Practitioner - Family in Fort Smith, AR

Active since May 21, 2026PECOS Enrolled
9001 JENNY LIND RD STE 3, FORT SMITH, AR 72908(479) 385-9001(479) 668-3699 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melinda Blake Aprn NPPES

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

MELINDA BLAKE APRN (NPI 1801726674) is an individual family provider in Fort Smith, Arkansas, licensed in Arkansas (236795) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801726674
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELINDA BLAKECredential: APRN
Location Address9001 JENNY LIND RD STE 3Fort Smith, AR 72908-8629
Mailing Address9001 Jenny Lind Rd Ste 3Fort Smith, AR 72908-8629 · (479) 385-9001 · Fax (479) 668-3699
Fax(479) 668-3699
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 21, 2026
NPPES CertifiedMay 21, 2026
✔ NPI 1801726674 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 · 236795
9001 JENNY LIND RD STE 3, Fort Smith, AR 72908

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melinda Blake Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325504145
PECOS Enrollment IDI20260731000221
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 Melinda Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arkansas enrollment
  • 354 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72908 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 4

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

Physical Medicine & Rehabilitation (Pain Medicine)
9001 JENNY LIND RD STE 3
FORT SMITH, AR 72908
Nurse Practitioner (Family)
9001 JENNY LIND RD STE 3
FORT SMITH, AR 72908
Clinic/Center (Pain)
9001 JENNY LIND RD STE 3
FORT SMITH, AR 72908
Nurse Practitioner (Family)
9001 JENNY LIND RD STE 3
FORT SMITH, AR 72908

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 Blake's NPI number?

The NPI number for Melinda Blake is 1801726674. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Melinda Blake located?

Melinda Blake practices at 9001 Jenny Lind Rd Ste 3, Fort Smith, AR 72908. The listed phone number is (479) 385-9001.

What is Melinda Blake's specialty?

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

Is Melinda Blake enrolled in Medicare?

Yes. Melinda Blake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melinda Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Blake reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melinda Blake was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.