AUTUMN MCCLELLAN (FNP) – Family Nurse Practitioner, NPI 1720656655
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for AUTUMN MCCLELLAN (FNP)
1990 NW 21ST ST
MCMINNVILLE, OR 971286769
Phone: (503) 752-2838
Type: Mailing
9605 GRAND RONDE RD
GRAND RONDE, OR 973479712
Phone: (503) 879-2002
Fax: (503) 879-2071
Type: Location
50 Union St
Ellsworth, ME 046051534
Phone: (207) 664-5311
Type: Location
149 NW 1st St
Willamina, OR 973962707
Phone: (503) 843-4071
Fax: (503) 843-4070
Type: Location
560 Wallace Rd NW Ste 140
Salem, OR 973043858
Phone: (971) 273-7299
Type: Location
307 S EVERGREEN AVE
WOODBURY, NJ 080962739
Phone: (856) 686-4393
Fax: (856) 694-5179
Type: Mailing
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: 2025-05-20
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 |
|---|---|---|---|---|
| I20211117001242 | I | Nurse Practitioner | OR | TBD |
| I20250520000948 | I | Nurse Practitioner | ME | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 97128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ME | |
| Emergency Medicine | IL | |
| General Surgery | ME | |
| Emergency Medicine | SC | |
| Emergency Medicine | WV | |
| - | NJ | |
| Emergency Medicine | MA | |
| Emergency Medicine | RI | |
| Emergency Medicine | NJ | |
| Emergency Medicine | WI |
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