Active NPI
Finnian Christopher McCullough, ARNP, MS, BC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Lawrence, KS
National Provider Identifier
1295809192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 74550
- Practice address
- 200 Maine St Ste a
Lawrence, KS 66044 - Phone
- (785) 843-9192
- Fax
- (785) 843-2219
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 74550 | KS | Primary |
Addresses
Primary practice location
200 Maine St Ste a
Lawrence, KS 66044
Mailing address
200 Maine St Ste a
Lawrence, KS 66044-1396
Phone (785) 843-9192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295809192 | Medicaid | KS | |
| 21643017 | Other | KS | BCBS OF KANSAS CITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Maine St
Suite a
Lawrence, KS 66044-1396
Phone (785) 843-9192
Hospital & facility affiliations
- LMH
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74550 | KS | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawrence, KS
- NPI 1841281805
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1295809192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MAINE ST STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441396",
"telephone_number": "785-843-9192",
"fax_number": "785-843-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAINE ST STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "66044",
"telephone_number": "785-843-9192",
"fax_number": "785-843-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "FINNIAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "ARNP, MS, BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "KS",
"license": "74550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295809192",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS CITY",
"identifier": "21643017",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.