MICHELLE R PELLERIN P.A. NPI 1780691816

NPI Information

  • NPI: 1780691816
  • Provider Name: MICHELLE R PELLERIN, P.A.
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6801 PHOENIX AVE STE 2
    FORT SMITH, AR
    ZIP 72903
  • Phone: (479) 384-5378

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NPI Details

Michelle R Pellerin, P.A. is a physician assistant in Fort Smith, AR with 21 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Michelle R Pellerin, P.A. NPI is 1780691816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6801 PHOENIX AVE STE 2
FORT SMITH, AR
ZIP 72903-299
Phone: (479) 384-5378
Fax: (479) 385-5379

The NPI 1780691816 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc (HCPCS:U0002)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Application of nonmoveable forearm to hand splint (HCPCS:29125)

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA-575IDAHONo
2363AS0400XPhysician AssistantSurgicalPA-575IDAHONo
3363A00000XPhysician AssistantPA-575IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1807321700MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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