ANDREA MCCLELLAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366217531
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for ANDREA MCCLELLAN (PMHNP-BC)
1100 REID PKWY
RICHMOND, IN 473741157
Phone: (765) 983-3000
Type: Mailing
1908 N PARK RD
CONNERSVILLE, IN 473312810
Phone: (765) 222-1079
Type: Location
11051 State Road 101 Ste A
Brookville, IN 470120017
Phone: (765) 647-4231
Type: Location
1915 Chester Blvd
Richmond, IN 473741212
Phone: (765) 935-8754
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: 2025-04-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240319000782 | I | Nurse Practitioner | OH | TBD |
| I20250430001164 | I | Nurse Practitioner | IN | TBD |
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.
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 47374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Internal Medicine | IN | |
| Family Practice | IN | |
| - | NC | |
| - | IN | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | IN | |
| - | GA | |
| Nurse Practitioner | IN | |
| - | IN |
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