MS. MARY MELINDA ERICSON (P.A.) – Medical Physician Assistant, NPI 1811931397

MS. MARY MELINDA ERICSON (P.A.) is a healthcare provider. based in Rogers, Arkansas. specializing in Medical Physician Assistant. They hold the professional credentials P.A.. They hold a License No. PA-220 (AR). The NPI Number for MS. MARY MELINDA ERICSON (P.A.) is 1811931397

Main info

Female
Name
MS. MARY MELINDA ERICSON (P.A.)
NPI
1811931397
Phone
(479) 616-1485
Address
2012 S Promenade Blvd
Enumeration Date
15 June 2006
Last Update Date
15 April 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. MARY MELINDA ERICSON (P.A.)

  • 2012 S Promenade Blvd

    Rogers, AR 727589073

    Phone: (479) 616-1485

    Fax: (479) 239-0536

    Type: Location

  • 3721 E US 412 HWY STE B

    SILOAM SPRINGS, AR 727613018

    Phone: (479) 215-3080

    Fax: (479) 549-4059

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Inari Medical, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$14
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: 2011-05-23

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
I20110523000263IPhysician AssistantARTBD

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5555$0
99285Emergency department visit with high level of medical decision making5050$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2929$0
99283Emergency department visit with low level of medical decision making1515$0
99291Critical care, first 30-74 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 72758)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. MARY MELINDA ERICSON (P.A.)?
MS. MARY MELINDA ERICSON (P.A.) — NPI 1811931397 — is the standard way to identify this listing.
Can I rely on MS. MARY MELINDA ERICSON (P.A.) being an active provider?
As of the registry snapshot, MS. MARY MELINDA ERICSON (P.A.) is marked active.
What healthcare role does MS. MARY MELINDA ERICSON (P.A.) hold?
Scheduling teams often label MS. MARY MELINDA ERICSON (P.A.) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MS. MARY MELINDA ERICSON (P.A.) on a map?
Expect Rogers, Arkansas as a primary anchor for MS. MARY MELINDA ERICSON (P.A.) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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