Autumn Mcclellan, FNP - Medicare Nurse Practitioner in Grand Ronde, OR

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Autumn Mcclellan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Grand Ronde, Oregon. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Swiftcare, Llc and her current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 879-2002.

Autumn Mcclellan is licensed to practice in Oregon (license number 202107827NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720656655.

Contact Information

Autumn Mcclellan, FNP
9605 Grand Ronde Rd,
Grand Ronde, OR 97347-9712
(503) 879-2002
(503) 879-2071

Map and Direction




Provider's Profile

Full NameAutumn Mcclellan
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location9605 Grand Ronde Rd, Grand Ronde, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Autumn Mcclellan graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1720656655
  • Provider Enumeration Date: 06/16/2021
  • Last Update Date: 01/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1456755610
  • Enrollment ID: I20211117001242

Medical Identifiers

Medical identifiers for Autumn Mcclellan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720656655NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201505014RN (Oregon)Secondary
363LF0000XNurse Practitioner - Family 202107827NP-PP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley HospitalDallas, ORHospital
Salem HospitalSalem, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Swiftcare, Llc23657025374

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Autumn Mcclellan allows following entities to bill medicare on her behalf.
Entity NameSalem Health West Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245237486
PECOS PAC ID: 7810804630
Enrollment ID: O20040225000830
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780647719
PECOS PAC ID: 6608056171
Enrollment ID: O20130123000079
Entity NameSwiftcare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235657156
PECOS PAC ID: 2365702537
Enrollment ID: O20180207002791

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Mcclellan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Autumn Mcclellan, FNP
1990 Nw 21st St,
Mcminnville, OR 97128-6769

Ph: (503) 752-2838		Autumn Mcclellan, FNP
9605 Grand Ronde Rd,
Grand Ronde, OR 97347-9712

Ph: (503) 879-2002

Reviews and Comments


Nurse Practitioner Nurses in Grand Ronde, OR

Mr. Maurice A Ajaifia, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347
Phone: 503-879-2026    
Tricia Raye Hayden, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347
Phone: 503-879-2060    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.