Individual provider Active NPI

Christal McCall, FNP-C

  • Family Nurse Practitioner
  • Saint Clairsville, OH
National Provider Identifier
1205441177
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107214 Issued in WV
Practice address
Southeast
68353 Bannock Rd
Saint Clairsville, OH 43950
Phone
(740) 695-9344
Fax
(740) 695-7773
NPI assigned
Sep 9, 2020
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 107214 WV Primary

Addresses

Primary practice location

Southeast
68353 Bannock Rd
Saint Clairsville, OH 43950

Mailing address

Southeast
68353 Bannock Rd
Saint Clairsville, OH 43950
Phone (740) 695-9344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220301002930 OH Practitioner - Nurse Practitioner 1355735788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast IncGroup PAC ID 8426014853, 48 clinicians

Practice addresses (Care Compare)

68353 Bannock Rd
Saint Clairsville, OH 43950-9736
Phone (740) 695-9344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107214WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast, Inc CurrentSince Nov 16, 2021 Accepting new patients
Southeast, Inc CurrentSince Nov 16, 2021 Accepting new patients

Locations

16 W Long St
Columbus, OH 43215

68353 Bannock Uniontown Rd
St Clairsvle, OH 43950
Phone (740) 695-9344

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.

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1205441177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTHEAST",
            "address_2": "68353 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-695-9344",
            "fax_number": "740-695-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTHEAST",
            "address_2": "68353 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-695-9344",
            "fax_number": "740-695-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "CHRISTAL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.