NPIMap

Individual provider Active NPI

Casie Danielle McClellan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Mahomet, IL
National Provider Identifier
1225874829
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029890 Issued in IL
Practice address
1504 Patton Dr
Mahomet, IL 61853-8144
Phone
(217) 586-2633
Fax
(217) 590-0272
NPI assigned
Jul 2, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 209029890 IL Primary

Addresses

Primary practice location

1504 Patton Dr
Mahomet, IL 61853-8144

Mailing address

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

Other practice location 1

1230 George Rock Dr
Farmer City, IL 61842-9488
Phone (309) 928-9192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801002610 IL Practitioner - Nurse Practitioner 4789121278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1504 Patton Dr
Suite 2
Mahomet, IL 61853-8126
Phone (217) 586-2633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209029890ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association CurrentSince Jul 7, 2024 Accepting new patients
Gibson Community Hospital Association CurrentSince Jul 17, 2024 Accepting new patients
Gibson Community Hospital Association CurrentSince Jul 17, 2024 Accepting new patients
Gibson Community Hospital Association Family Medicine Past Accepting new patients

Locations

1230 George Rock Dr
Farmer City, IL 61842
Phone (309) 928-9192

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

1504 Patton Dr
Mahomet, IL 61853
Phone (217) 586-2633

1504 Patton Dr
Ste 2
Mahomet, IL 61853
Phone (217) 586-2633

Interoperability endpoints

  • Direct secure messaging: casie.mcclellan.p14@direct.gapho.nextgenshare.com
  • Direct secure messaging: casie.mcclellan.p45@direct.gapho.nextgenshare.com

Organizations & group practices 4

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1225874829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 PATTON DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618538144",
            "telephone_number": "217-586-2633",
            "fax_number": "217-590-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 George Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Farmer City",
            "state": "IL",
            "postal_code": "618429488",
            "country_code": "US",
            "telephone_number": "309-928-9192",
            "fax_number": "309-928-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "CASIE",
        "middle_name": "DANIELLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahomet, IL

Sources for this page

Verify at the official NPI Registry.