Active NPI
Jennifer Leigh McHan, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5012171
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
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
- Clearwater Valley Hospital and Clinics
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15410 | CT | MD | Clinical Social Worker |
| G177955 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 4704428015 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
| 5012171 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1169581 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61524489 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Piedmont Physician Network LLC | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| St. Mary's Hospital Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | 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
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
CT, DC, FL, IA, ID, MD, NC, NE, PA, SC, WA
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
dba Clearwater Valley Health
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
-
- Critical Access Hospital
- Orofino, ID
- NPI 1255449013
-
- Internal Medicine Physician
- York, SC
- NPI 1194277186
-
dba St. Mary's Health
- Critical Access Hospital
- Cottonwood, ID
- NPI 1841292307
-
dba CaroMont Psychiatric Associates
- Psychiatry Physician
- Gastonia, NC
- NPI 1629197744
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
dba Clearwater Valley Health
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
-
- Psychiatry Physician
- Coeur d'Alene, ID
- NPI 1174661151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.