Individual provider Active NPI

Samantha Jacquelyn McLean, APRN

  • Nurse Practitioner
  • Price, UT
National Provider Identifier
1013655190
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7684442-4405 Issued in UT
Practice address
317 E 100 N
Price, UT 84501-2504
Phone
(435) 637-5061
NPI assigned
May 26, 2022
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7684442-4405 UT Primary

Addresses

Primary practice location

317 E 100 N
Price, UT 84501-2504

Mailing address

317 E 100 N
Price, UT 84501-2504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831002163 UT Practitioner - Nurse Practitioner 7315321932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

317 E 100
Price, UT 84501-2504
Phone (435) 637-3584

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7684442-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Castleview Physician Practice LLC Current Accepting new patients
Castleview Physician Practices LLC CurrentSince May 19, 2022 Accepting new patients
Castleview Physician Practice, LLC CurrentSince May 19, 2022 Accepting new patients
Home Clinix Utah LLC CurrentSince Aug 9, 2024 Accepting new patients
Castleview Physician Practices, LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

317 E 100 N
Price, UT 84501
Phone (435) 637-3584

317 E 100 N
Ste 4
Price, UT 84501
Phone (435) 637-6337

945 W Hospital Dr
Ste 1
Price, UT 84501
Phone (435) 637-4327

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/ac628e84-2617-49d6-9bed-241da87864f9
  • Direct secure messaging: samantha.mclean.1@19848.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1013655190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E 100 N",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 100 N",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012504",
            "telephone_number": "435-637-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "SAMANTHA",
        "middle_name": "JACQUELYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7684442-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.