Angela McLearen

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

CNP.019378 Issued in OH

Practice address

5151 Pfeiffer Rd Ste 350
Blue Ash, OH 45242-4854

Phone

(833) 358-2036

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: angela.mclearen@306803888029700.direct.elationemr.com

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.

• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1699722470
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1346690674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 CLOUGH PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452444053",
            "telephone_number": "513-564-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 PFEIFFER RD STE 350",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424854",
            "telephone_number": "833-358-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 Clough Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452444053",
            "country_code": "US",
            "telephone_number": "513-564-1640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 E Rivercenter Blvd Ste 434",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410111660",
            "country_code": "US",
            "telephone_number": "833-358-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAREN",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "CNP.019378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christin Michelle McIlwain, LPC
• Erwin McIntosh, LPCC
• Phillip McIntosh, QMHS-B
• Pooja McIntosh, MSW
• Anne Marie McKee, NP
• Shannon N. McMannis, LISW
• Marcus J McNeil, MSW, LSW
• Deanna McPeek, LPCC
• Kelsey L McPherson
• Brianna McQueen, LISW-S

• Gerontology Nurse Practitioner in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.