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MS. MARY MELINDA ERICSON P.A.
NPI 1811931397
Physician Assistant - Medical in Siloam Springs, AR

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
3721 E US 412 HWY STE B, SILOAM SPRINGS, AR 72761(479) 215-3080(479) 549-4059 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Melinda Ericson P.a. NPPES

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

MS. MARY MELINDA ERICSON P.A. (NPI 1811931397) is an individual medical provider in Siloam Springs, Arkansas, licensed in Arkansas (PA-220) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rogers, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1811931397
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MARY MELINDA ERICSONCredential: P.A.
Location Address3721 E US 412 HWY STE BSiloam Springs, AR 72761-3018
Mailing Address3721 E Us 412 Hwy Ste BSiloam Springs, AR 72761-3018 · (479) 215-3080 · Fax (479) 549-4059
Phone(479) 215-3080
Fax(479) 549-4059
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 15, 2019
✔ NPI 1811931397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AR · PA-220
3721 E US 412 HWY STE B, Siloam Springs, AR 72761
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Other Names 1

Former Name (1)Ms. Mary Melinda Kimberlin Pa

Secondary Practice Location 1

Location 12012 S Promenade BlvdRogers, AR 72758-9073 · Phone (479) 616-1485 · Fax (479) 239-0536

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Ms. Mary Melinda Ericson P.a. 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 ID5395749519
PECOS Enrollment IDI20260430001742
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services38 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services31 patients

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 Mary Ericson's NPI number?

The NPI number for Mary Ericson is 1811931397. It was assigned to this individual provider in the NPPES registry on June 15, 2006. The provider is also known as Ms. Mary Melinda Kimberlin PA.

Where is Mary Ericson located?

Mary Ericson practices at 3721 E Us 412 Hwy Ste B, Siloam Springs, AR 72761. The listed phone number is (479) 215-3080.

What is Mary Ericson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Ericson enrolled in Medicare?

Yes. Mary Ericson 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 Mary Ericson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Mary Ericson 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 Mary Ericson was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.