MELANIE R. SMITH (FNP) – Family Nurse Practitioner, NPI 1417204025

MELANIE R. SMITH (FNP) is a healthcare provider. based in Rogersville, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2012028206 (MO). The NPI Number for MELANIE R. SMITH (FNP) is 1417204025

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE R. SMITH (FNP)
NPI
1417204025
Phone
(417) 753-7770
Address
199 JOHNSTOWN DR
Enumeration Date
14 August 2012
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178886735
Graduation Year
2012 (14 years ago)
PAC ID
4284885476
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20121116000270
Address ID
MO658077304SP3231XAVEX404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121116000270INurse PractitionerMO2023-11-30

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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes182130$0
36415Insertion of needle into vein for collection of blood sample7569$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4949$0
99213Established patient office or other outpatient visit, 20-29 minutes3028$0
G0008Administration of influenza virus vaccine1818$0
View full utilization report →

Insurance plans in this area (ZIP 65742)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

Can I cross-check MELANIE R. SMITH (FNP) using NPI 1417204025?
NPI 1417204025 belongs to MELANIE R. SMITH (FNP); compare other details if you need extra assurance.
Is there an active status for MELANIE R. SMITH (FNP)?
For scheduling context, MELANIE R. SMITH (FNP) is shown as active in the registry.
What clinical focus is listed for MELANIE R. SMITH (FNP)?
At a glance, MELANIE R. SMITH (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MELANIE R. SMITH (FNP) located near Rogersville?
MELANIE R. SMITH (FNP) currently maps to Rogersville, Missouri in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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