COLLIN SHANLEY MCLEAN (PA-C) – Physician Assistant, NPI 1952006934

COLLIN SHANLEY MCLEAN (PA-C) is a healthcare provider. based in Ottawa, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085009935 (IL). The NPI Number for COLLIN SHANLEY MCLEAN (PA-C) is 1952006934

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
COLLIN SHANLEY MCLEAN (PA-C)
NPI
1952006934
Phone
(219) 669-3378
Address
525 HOUSTON ST
Enumeration Date
31 March 2023
Last Update Date
23 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195402100
Graduation Year
2023 (3 years ago)
PAC ID
4183067234
Group Practice PAC ID
5991064420
Professional Enrollment ID
I20250729004852
Address ID
CO809064195CO2860XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for COLLIN SHANLEY MCLEAN (PA-C)

  • 525 HOUSTON ST

    OTTAWA, IL 613503528

    Phone: (219) 669-3378

    Type: Mailing

  • 1100 E NORRIS DR

    OTTAWA, IL 613501604

    Phone: (815) 433-3100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240206003296IPhysician AssistantILTBD
I20250729004852IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61350)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991064420View full group profile
NameSpecialtyState
Mental Health CounselorWY
Physician AssistantTN
Physician AssistantTX
Clinical PsychologistIL
Clinical PsychologistVA
Clinical Social WorkerCO
Physician AssistantCO
Psychiatry, Pediatric MedicineCO
Marriage And Family TherapistCO
Mental Health CounselorTN

Reviews

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Frequently asked questions

Does COLLIN SHANLEY MCLEAN (PA-C) have a public NPI I can cite?
Public records show COLLIN SHANLEY MCLEAN (PA-C) under NPI 1952006934.
Should I treat COLLIN SHANLEY MCLEAN (PA-C) as an active provider?
Patients and plans typically see COLLIN SHANLEY MCLEAN (PA-C) as active in the national extract.
Which specialty label fits COLLIN SHANLEY MCLEAN (PA-C)?
NPPES ties COLLIN SHANLEY MCLEAN (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit COLLIN SHANLEY MCLEAN (PA-C) in Ottawa, Illinois?
For routing, start with Ottawa, Illinois for COLLIN SHANLEY MCLEAN (PA-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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