MICHELLE MCCLELLAN (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619608924

MICHELLE MCCLELLAN (APRN, PMHNP-BC) is a healthcare provider. based in Midland, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. 940041 (TX). The NPI Number for MICHELLE MCCLELLAN (APRN, PMHNP-BC) is 1619608924

Main info

Female
4 Years Of Experience
Name
MICHELLE MCCLELLAN (APRN, PMHNP-BC)
NPI
1619608924
Phone
(432) 221-1017
Address
400 ROSALIND REDFERN GROVER PKWY
Enumeration Date
19 June 2022
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4325703385
Graduation Year
2022 (4 years ago)
PAC ID
1850364902
Group Practice PAC ID
8426955865
Professional Enrollment ID
I20240625002694
Address ID
TX797013602MI400XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:3State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MICHELLE MCCLELLAN (APRN, PMHNP-BC)

  • 400 ROSALIND REDFERN GROVER PKWY

    MIDLAND, TX 797015846

    Phone: (432) 221-1017

    Type: Mailing

  • 214 W TEXAS AVE STE 607

    MIDLAND, TX 797014610

    Phone: (432) 231-0524

    Fax: (432) 216-0972

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($94).

Total Amount

$179

General + Research + Ownership

Payments

2

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-25

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
I20240625002694INurse PractitionerTXTBD

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 79701)

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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: 8426955865View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
Clinical Social WorkerIN
Family PracticeTX
Nurse PractitionerTX
Mental Health CounselorTX
Family PracticeIL
Nurse PractitionerTX
Family PracticeTX
Mental Health CounselorTX

Reviews

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Frequently asked questions

What is MICHELLE MCCLELLAN (APRN, PMHNP-BC)'s NPI number?
MICHELLE MCCLELLAN (APRN, PMHNP-BC)'s NPI is 1619608924 — the number used across U.S. healthcare to identify this provider.
Would MICHELLE MCCLELLAN (APRN, PMHNP-BC) appear as active to a payer?
You can treat MICHELLE MCCLELLAN (APRN, PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MICHELLE MCCLELLAN (APRN, PMHNP-BC)?
MICHELLE MCCLELLAN (APRN, PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHELLE MCCLELLAN (APRN, PMHNP-BC)?
Travel planning: use Midland, Texas as the reference point for MICHELLE MCCLELLAN (APRN, PMHNP-BC), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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