Individual provider Active NPI

Jennifer Leigh McHan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1265088058
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5012171 Issued in NC
Practice address
1867 Remount Rd
Gastonia, NC 28054-7401
Phone
(704) 865-3848
Fax
(707) 854-3086
NPI assigned
Aug 16, 2019
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G177955 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC007912 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5012171 NC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15410 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704428015 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1761677 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11025849 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61524489 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1169581 TX

Addresses

Primary practice location

1867 Remount Rd
Gastonia, NC 28054-7401

Mailing address

1717 Main St Ste 5850
Dallas, TX 75201-7317

Other practice location 1

540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, NE, TX, ID, IA, FL, DC, MD, WA, CT, PA12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20210913001265 NC Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 2 organizations
I20220907000821 SC Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 2 organizations
I20250125000043 NE Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 1 organization
I20250311001694 TX Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 1 organization
I20250325003515 ID Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 4 organizations
I20250707003085 IA Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 1 organization
I20250709004504 FL Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 1 organization
I20250814004066 DC Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 1 organization
I20250814004222 MD Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 1 organization
I20250818003815 WA Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 1 organization
I20251003003403 CT Practitioner - Psychiatry 6103222492 Reassigns benefits to 1 organization
I20260210002011 PA Practitioner - Nurse Practitioner 6103222492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Clearwater Valley Hospital and ClinicsGroup PAC ID 0547173346, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (972) 449-0540

1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (972) 449-0540

1135 Carthage St
Sanford, NC 27330-4162
Phone (972) 449-0540

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (972) 449-0540

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (972) 449-0540

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (972) 449-0540

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (972) 449-0540

1660 60TH St
West Des Moines, IA 50266-7700
Phone (972) 449-0540

1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (972) 449-0540

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (972) 449-0540

17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (972) 449-0540

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (972) 449-0540

1900 Pine St
Abilene, TX 79601-2432
Phone (972) 449-0540

20 York St
New Haven, CT 06510-3220
Phone (972) 449-0540

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (972) 449-0540

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (972) 449-0540

202 N Division St
Auburn, WA 98001-4939
Phone (972) 449-0540

2134 Riverstone Loop
Ferndale, WA 98248-8024
Phone (972) 449-0540

2525 Court Dr
Gastonia, NC 28054-2140
Phone (972) 449-0540

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (972) 449-0540

301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-5777

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (972) 449-0540

350 N Grandview Ave
Unitypoint the Finley Hospital
Dubuque, IA 52001-6388
Phone (972) 449-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15410CTMDClinical Social Worker
G177955IAMDPsychiatric/Mental Health Nurse Practitioner
4704428015MIMDPsychiatric/Mental Health Nurse Practitioner
5012171NCMDPsychiatric/Mental Health Nurse Practitioner
1169581TXMDPsychiatric/Mental Health Nurse Practitioner
AP61524489WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Feb 4, 2023 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Jul 5, 2025 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Jul 5, 2025 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Piedmont Physician Network LLC CurrentSince Jul 14, 2022 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Nov 9, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince Dec 1, 2019 Accepting new patients
St. Mary's Hospital Inc CurrentSince Jul 5, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 9, 2021 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 9, 2021 Accepting new patients

Locations

20 York St
North Haven, CT 06510
Phone (203) 688-2433

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

1089 X Ray Dr
Gastonia, NC 28054
Phone (704) 864-8377

1867 Remount Rd
Gastonia, NC 28054
Phone (704) 854-8799

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

415 S 25th Ave
Omaha, NE 68131
Phone (402) 717-5300

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

7356 15th Ave NW
Seattle, WA 98117

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • Direct secure messaging: jmchan1131937@ahs.direct-ci.com

Organizations & group practices 11

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1265088058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547401",
            "telephone_number": "704-865-3848",
            "fax_number": "707-854-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 LITCHFIELD ST",
            "address_purpose": "LOCATION",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHAN",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G177955",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC007912",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012171",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "15410",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704428015",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "1761677",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11025849",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61524489",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1169581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.