Individual provider Active NPI

Stephanie Swinson McClain, FNP

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1396103842
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008323 Issued in NC
Practice address
315 Greenville Blvd SE
Suite 100
Greenville, NC 27858-5713
Phone
(252) 917-5621
NPI assigned
Jan 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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 5008323 NC Primary

Addresses

Primary practice location

315 Greenville Blvd SE
Suite 100
Greenville, NC 27858-5713

Mailing address

315 Greenville Blvd SE
Suite 100
Greenville, NC 27858-5713
Phone (252) 917-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160329000012 NC Practitioner - Nurse Practitioner 4486951969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

600 Medical Dr
Greenville, NC 27834-7503
Phone (252) 847-2273

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Down East Inc CurrentSince Nov 13, 2019 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 24, 2023 Accepting new patients
Texan Urgent Care PLLC Past Accepting new patients

Locations

600 Medical Dr
Greenville, NC 27834
Phone (252) 847-2273

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

853 Washington Square Mall
Washington, NC 27889
Phone (252) 623-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1396103842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GREENVILLE BLVD SE",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585713",
            "telephone_number": "252-917-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GREENVILLE BLVD SE",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585713",
            "telephone_number": "252-917-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "STEPHANIE",
        "middle_name": "SWINSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.