MELANIE R. SMITH (FNP) – Family Nurse Practitioner, NPI 1417204025
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for MELANIE R. SMITH (FNP)
199 JOHNSTOWN DR
ROGERSVILLE, MO 657429366
Phone: (417) 753-7770
Type: Location
PO BOX 4046
SPRINGFIELD, MO 658084046
Phone: (417) 269-5712
Fax: (417) 269-7567
Type: Mailing
2750 S CAMPBELL AVE
SPRINGFIELD, MO 658073506
Phone: (417) 269-2281
Fax: (417) 269-2292
Type: Location
2750 S Campbell Ave
Springfield, MO 658073506
Phone: (417) 269-2281
Fax: (417) 269-2292
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-01-08 • Largest payer in this snapshot: Medtronic, Inc. ($113).
Total Amount
$148
General + Research + Ownership
Payments
3
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $113 |
| ABBVIE INC. | $19 |
| Amgen Inc. | $16 |
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: 2012-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (923 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121116000270 | I | Nurse Practitioner | MO | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 182 | 130 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 75 | 69 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 49 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 28 | $0 |
| G0008 | Administration of influenza virus vaccine | 18 | 18 | $0 |
Insurance plans in this area (ZIP 65742)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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