Michelle R. Pellerin, P.A.
NPI 1780691816ActiveIndividual· Physician Assistant· Fort Smith, AR
Physician Assistant (P.A.) with Mercy Clinic Fort Smith Communities and 1 other group, practicing in Fort Smith, Arkansas. 538 Medicare patients in 2024, $45,560 paid; nearly all of their 744 Part D prescriptions were generic (93%).
Overview
| NPI | 1780691816 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Aug 2, 2006 |
| Last updated in NPPES | Jul 12, 2024 |
| Certified by provider | Jul 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-575 | ID |
| Physician Assistant, Medical | 363AM0700X | PA-575 | ID |
| Physician Assistant, Surgical | 363AS0400X | PA-575 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AR); Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 538 |
|---|---|
| Services billed | 1,311 across 71 procedure codes |
| Paid by Medicare | $45,560 |
Part D prescriptions in 2024
| Prescriptions (claims) | 744 · 745 30-day fills |
|---|---|
| Patients | 543 |
| Total drug cost | $8,671 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Mercy Clinic Fort Smith CommunitiesFort Smith, AR · 372 clinicians
- Mercy Northwest Arkansas Ambulatory Services, LLCRogers, AR · 43 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Fort Smith
- 1134695265
- 1215659081
- 1447616040
- 1457968521
- 1497307664
- 1508477563
- 1609952696
- 1841616604
- 1891763165
- 1891928313
- 1912279290
- 1912533589
All 34 physician assistants in Fort Smith · All physician assistants in Arkansas