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

MS. Mary Melinda Ericson, PA

Individual provider Medical Physician Assistant · NPI 1811931397

MS. Mary Melinda Ericson, PA is a Physician Assistant in Siloam Springs, Arkansas. Qualified in 1998, 28 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
28
Licensed in
AR
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3721 E US 412 Hwy Ste B
Siloam Springs, AR 72761-3018
Phone: (479) 215-3080
Fax: (479) 549-4059
Show map & directions

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

Additional practice locations (1)

  • 2012 S Promenade Blvd, Rogers, AR 72758-9073 — (479) 616-1485

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-220 (AR)

Record details

NPI number1811931397
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESApril 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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