MELISSA VELASQUEZ – Family Nurse Practitioner, NPI 1063240646

MELISSA VELASQUEZ is a healthcare provider. based in Rogers, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. 229882 (AR). The NPI Number for MELISSA VELASQUEZ is 1063240646

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA VELASQUEZ
NPI
1063240646
Phone
(479) 250-8672
Address
2040 W HUDSON RD
Enumeration Date
24 July 2024
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
0345774675
Group Practice PAC ID
0244213213
Professional Enrollment ID
I20241109000136
Address ID
AR727645374SP601XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MELISSA VELASQUEZ

  • 2040 W HUDSON RD

    ROGERS, AR 727562334

    Phone: (479) 250-8672

    Type: Mailing

  • 6636 W SUNSET AVE STE A

    SPRINGDALE, AR 727620971

    Phone: (479) 361-4631

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241109000136INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72756)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244213213View full group profile
NameSpecialtyState
Family PracticeAR
Nurse PractitionerAR
Orthopedic SurgeryAR
Nurse PractitionerAR
Thoracic SurgeryAR
Orthopedic Surgery, Sports MedicineAR
Nurse PractitionerAR
-AR
Orthopedic SurgeryAR
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

What number should I use to identify MELISSA VELASQUEZ for billing?
Administrative and clinical systems typically use NPI 1063240646 for MELISSA VELASQUEZ.
Quick check: is MELISSA VELASQUEZ active?
Public NPPES data shows MELISSA VELASQUEZ with an active NPI status right now.
What type of care does MELISSA VELASQUEZ provide?
MELISSA VELASQUEZ's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MELISSA VELASQUEZ tied to Rogers, Arkansas?
If you are local to Rogers, Arkansas, MELISSA VELASQUEZ may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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