Nan Maclean
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Orient, OH
NPI 1073259669 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1073259669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0034089 (OH)
- Practice address
- 9085 Southern St Ste 220
Orient, OH 43146-9360 - Phone
- (216) 468-5000
- NPI assigned
- May 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psychological and Behavioral Consultants LLC
Practice addresses (Care Compare)
25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5694
Phone (216) 831-6611
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231103002951 | OH | Practitioner - Nurse Practitioner | 0941657514 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.455249 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current |
Accepting new patients | |
| A Child and Family Psychiatry LLC | Past |
Accepting new patients | |
| Cook Counseling and Consulting Inc. | Past | Accepting new patients |
Locations
25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
9085 Southern St
Orient, OH 43146
Phone (614) 277-4618
9085 Southern St
Ste 220
Orient, OH 43146
Phone (380) 666-5026
Interoperability endpoints
- lifestancehealth.nanmaclean@140098.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0034089 | OH | Yes |
| Registered Nurse | 163W00000X | RN.455249 | OH |
Addresses
Primary practice location
9085 Southern St Ste 220
Orient, OH 43146-9360
Mailing address
1760 Neil Ave
Columbus, OH 43210-1221
Other practice location 1
1855 E Dublin Granville Rd Ste 204
Columbus, OH 43229-3516
Phone (614) 267-7003
Other providers in Orient, OH
- Catherine Alyssa Larowe
- Ashlea M Lawson
- Sheila Lester
- Rosalie Mae Lindsey
- Gail Lorraine Lohn
- Sophia Madden
- Robelyn Marlow
- Jami L McBride
- Kelly McCorkle
- Lisa Diane McCoy
All providers in Orient, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.