NICOLE LEE MCCLELLAND (APRN) – Nurse Practitioner, NPI 1447401500

NICOLE LEE MCCLELLAND (APRN) is a healthcare provider. based in Medford, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1824 (NE). The NPI Number for NICOLE LEE MCCLELLAND (APRN) is 1447401500

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LEE MCCLELLAND (APRN)
NPI
1447401500
Phone
(541) 618-4400
Address
760 GOLF VIEW DR
Enumeration Date
8 October 2008
Last Update Date
1 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416184400
Graduation Year
2007 (19 years ago)
PAC ID
3678636040
Group Practice PAC ID
9830179134
Professional Enrollment ID
I20100920000885
Address ID
OR975049685ME760XXDRXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:17State licenses:3Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

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Provider Addresses for NICOLE LEE MCCLELLAND (APRN)

  • 760, Golf View Drive, Medford, Jackson County, Oregon, 97504, United States

    SUITE # 200

    MEDFORD, OR 975049685

    Phone: (541) 618-4400

    Fax: (541) 618-4406

    Mailing address matches the actual address.

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: 2010-09-20

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
I20100920000885INurse PractitionerORTBD

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
90961Dialysis services, 2-3 physician visits per month (20 years or older)3326$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)1814$0
90962Dialysis services, 1 physician visit per month (20 years or older)1211$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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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: 9830179134View full group profile
NameSpecialtyState
N E P H R O L O G YPA
Nephrology, Internal MedicineOR
Nephrology, Internal MedicineOR
N E P H R O L O G YIL
-OR
N E P H R O L O G YMA
Nephrology, Internal MedicineOR
N E P H R O L O G YOR
Nephrology, Internal MedicineOR
N E P H R O L O G YOR

Reviews

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Frequently asked questions

How do payers reference NICOLE LEE MCCLELLAND (APRN)?
For NICOLE LEE MCCLELLAND (APRN), use NPI 1447401500 as the unique 10-digit identifier.
Is NICOLE LEE MCCLELLAND (APRN) shown as active in public data?
Registry records indicate NICOLE LEE MCCLELLAND (APRN) maintains an active NPI.
How would a patient describe NICOLE LEE MCCLELLAND (APRN)'s focus?
For NICOLE LEE MCCLELLAND (APRN), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Oregon is NICOLE LEE MCCLELLAND (APRN) registered?
Use Medford, Oregon as the headline location for NICOLE LEE MCCLELLAND (APRN) here.
When was this NPI issued?
Enumeration for NICOLE LEE MCCLELLAND (APRN) is noted as October 8, 2008 where the registry provides it.