Individual provider Active NPI

Rachel Lynn Maclean, PA-C

  • Physician Assistant
  • Tolland, CT
National Provider Identifier
1043863681
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008145 Issued in MD
Practice address
231 Merrow Rd
Tolland, CT 06084-3915
Phone
(860) 875-9856
NPI assigned
Jul 23, 2019
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X C0008145 MD Primary

Addresses

Primary practice location

231 Merrow Rd
Tolland, CT 06084-3915

Mailing address

7247 Pommel Dr
Eldersburg, MD 21784-5986
Phone (443) 974-2665

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmaclean@mpaforkids.com Direct Manchester Pediatric Associates LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C0008145MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Pediatric Associates LLC PastSince Jul 28, 2019 Accepting new patients
Tolland County Pediatrics & Adolescent Medicine, LLC PastSince Jul 28, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachel.maclean.1@8042.direct.athenahealth.com
  • Direct secure messaging: rmaclean@mpaforkids.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1043863681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7247 POMMEL DR",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845986",
            "telephone_number": "443-974-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MERROW RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843915",
            "telephone_number": "860-875-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmaclean@mpaforkids.com",
            "affiliation": "Y",
            "affiliationName": "Manchester Pediatric Associates LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Email",
            "address_1": "231 Merrow Rd",
            "city": "Tolland",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060843915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.