MOLLY MARGARET MCCLELLAN – Physician Assistant, NPI 1518125236

MOLLY MARGARET MCCLELLAN is a healthcare provider. based in Gresham, Oregon. specializing in PHYSICIAN ASSISTANT. They hold a License No. 7395 (OR). The NPI Number for MOLLY MARGARET MCCLELLAN is 1518125236

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY MARGARET MCCLELLAN
NPI
1518125236
Phone
Not provided
Address
830 NW COUNCIL DR STE 300
Enumeration Date
29 May 2008
Last Update Date
29 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8646643984
Graduation Year
2014 (12 years ago)
PAC ID
3870811490
Group Practice PAC ID
1759731383
Professional Enrollment ID
I20160108002402
Address ID
WA986617763VA2510XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for MOLLY MARGARET MCCLELLAN

  • Northwest Council Drive, Twelvemile Corner, Gresham, Metro, Multnomah County, Oregon, 97030, United States

    GRESHAM, OR 970303752

    Phone:

    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: 2016-01-08

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
I20160108002402IPhysician AssistantWATBD

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 97030)

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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: 1759731383View full group profile
NameSpecialtyState
Physician AssistantWA
Physician AssistantFL
Nurse PractitionerOR
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerOR
Nurse PractitionerWA
Nurse PractitionerVA
Physician AssistantIL

Reviews

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Frequently asked questions

Can I verify MOLLY MARGARET MCCLELLAN with an NPI only?
You can start verification with NPI 1518125236 for MOLLY MARGARET MCCLELLAN, then check state licensing separately.
Does the file indicate MOLLY MARGARET MCCLELLAN is practicing under active NPI?
Directory data currently reports MOLLY MARGARET MCCLELLAN as active.
What taxonomy line describes MOLLY MARGARET MCCLELLAN?
For research purposes, treat MOLLY MARGARET MCCLELLAN as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MOLLY MARGARET MCCLELLAN based?
MOLLY MARGARET MCCLELLAN is tied to Gresham, Oregon in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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