| Nicole Lee Mcclelland, APRN | |
|
760 Golf View Dr, Suite # 200, Medford, OR 97504-9685 | |
| (541) 618-4400 | |
| (541) 618-4406 |
| Full Name | Nicole Lee Mcclelland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 760 Golf View Dr, Medford, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447401500 | NPI | - | NPPES |
| 201041420RN | Other | OR | STATE LICENSE - RN |
| 52664 | Other | NE | RN STATE LICENSE |
| 201050102NP | Other | OR | STATE - ANP |
| 500629049 | Medicaid | OR | |
| 110995 | Other | NE | APRN STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1824 (Nebraska) | Secondary |
| 363L00000X | Nurse Practitioner | 201050102NP (Oregon) | Primary |
| 363L00000X | Nurse Practitioner | 110995 (Nebraska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Sky Lakes Medical Center | Klamath falls, OR | Hospital |
| Fairchild Medical Center | Yreka, CA | Hospital |
| Mercy Medical Center Of Mt Shasta | Mount shasta, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renal Care Consultants Pc | 9830179134 | 13 |
| Entity Name | Renal Care Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740344597 PECOS PAC ID: 9830179134 Enrollment ID: O20040726000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lee Mcclelland, APRN 760 Golf View Dr, Suite # 200, Medford, OR 97504-9685 Ph: (541) 618-4400 | Nicole Lee Mcclelland, APRN 760 Golf View Dr, Suite # 200, Medford, OR 97504-9685 Ph: (541) 618-4400 |
Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003 | |
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520 | |
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
Jessica Faith Yeager Akram, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2860 Creekside Cir, Medford, OR 97504 Phone: 541-779-8367 | |
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537 | |
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3270 Hillcrest Road, Medford, OR 97504 Phone: 541-779-1672 | |
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315 |