Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle R Pellerin, PA

Individual provider Medical Physician Assistant · NPI 1780691816

Michelle R Pellerin, PA is a Physician Assistant in Fort Smith, Arkansas. Qualified in 2005, 21 years ago. Practices with Mercy Northwest Arkansas Ambulatory Services, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
21
Licensed in
ID
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

6801 Phoenix Ave Ste 2
Fort Smith, AR 72903-5299
Phone: (479) 384-5378
Fax: (479) 385-5379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-575 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-575 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-575 (ID)

Record details

NPI number1780691816
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mercy Northwest Arkansas Ambulatory Services, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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