STEPHANIE C MCCLELLAN (CRNA) – Psychiatric/Mental Health Nurse Practitioner, NPI 1588912828

STEPHANIE C MCCLELLAN (CRNA) is a healthcare provider. based in Wichita, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 97695 (KS). The NPI Number for STEPHANIE C MCCLELLAN (CRNA) is 1588912828

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE C MCCLELLAN (CRNA)
NPI
1588912828
Phone
(316) 686-7327
Address
8080 E CENTRAL AVE
Enumeration Date
16 August 2012
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3169288930
Graduation Year
2012 (14 years ago)
PAC ID
2466697180
Group Practice PAC ID
1355242975
Professional Enrollment ID
I20130401000300
Address ID
KS672268119WI3121XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for STEPHANIE C MCCLELLAN (CRNA)

  • 8080 E CENTRAL AVE

    STE 250

    WICHITA, KS 672062368

    Phone: (316) 686-7327

    Fax: (316) 686-1557

    Type: Mailing

  • 1721 E Osage Rd Ste 300

    Derby, KS 670372290

    Phone: (316) 202-7611

    Fax: (844) 550-2505

    Type: Location

  • 8080 E CENTRAL AVE STE 250

    WICHITA, KS 672062367

    Phone: (316) 686-7327

    Fax: (316) 686-1557

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $418.

Total Amount is formed as General ($418) + Research ($0) + Ownership ($0) = $418.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($142).

Total Amount

$418

General + Research + Ownership

Payments

25

Total payment records

General Amount

$418

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130401000300ICertified Registered Nurse Anesthetist (Crna)KSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope6767$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5351$0
00812Anesthesia for exam of colon using an endoscope3333$0
00813Anesthesia for procedure on small and large bowel using an endoscope2626$0
View full utilization report →

Insurance plans in this area (ZIP 67206)

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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: 1355242975View full group profile
NameSpecialtyState
-WY
-KS
Gastroenterology, Internal MedicineNC
Physician AssistantKS
Gastroenterology, Internal MedicineKS
Gastroenterology, Internal MedicineOH
Physician AssistantKS
Internal MedicineKS
G A S T R O E N T E R O L O G YIN
Physician AssistantKS

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE C MCCLELLAN (CRNA)'s NPI?
Yes. STEPHANIE C MCCLELLAN (CRNA) is listed with NPI 1588912828 in the public NPI dataset.
Does CMS list STEPHANIE C MCCLELLAN (CRNA) as active?
Yes — STEPHANIE C MCCLELLAN (CRNA) is active in the NPI listing used on this page.
What is STEPHANIE C MCCLELLAN (CRNA)'s specialty?
The listing groups STEPHANIE C MCCLELLAN (CRNA) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is STEPHANIE C MCCLELLAN (CRNA) based?
STEPHANIE C MCCLELLAN (CRNA) is tied to Wichita, Kansas in the data we show; additional addresses may exist on the full record.
Why does STEPHANIE C MCCLELLAN (CRNA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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