Active NPI
Jesse V McClain, CNS
- Adult Health Clinical Nurse Specialist
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- APRN.CNS.09249
- Practice address
- 1340 Belmont Ave
Ste 2200
Youngstown, OH 44504-1125 - Phone
- (330) 746-7400
- Fax
- (330) 746-7436
- NPI assigned
- Jan 26, 2007
- 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 Health Clinical Nurse Specialist | 364SA2200X | APRN.CNS.09249 | OH | Primary |
Addresses
Primary practice location
1340 Belmont Ave
Ste 2200
Youngstown, OH 44504-1125
Mailing address
1340 Belmont Ave
Ste 2200
Youngstown, OH 44504-1125
Phone (330) 746-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H166150 | Other | OH | MEDICARE PTAN |
| MCNS03831 | Other | OH | MEDICARE PTAN |
| 2960167 | Medicaid | OH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
905 Sahara TRL
Poland, OH 44514-3687
Phone (330) 729-8970
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNS.09249 | OH | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Current | Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010
1053 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-3605
905 Sahara Trl
Youngstown, OH 44514
Phone (330) 726-0100
1340 Belmont Ave
Ste 2200
Youngstown, OH 44504
Phone (330) 480-7350
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
Interoperability endpoints
- jmcclain17055@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483228800000",
"number": "1396891792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 BELMONT AVE",
"address_2": "STE 2200",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041125",
"telephone_number": "330-746-7400",
"fax_number": "330-746-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 BELMONT AVE",
"address_2": "STE 2200",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041125",
"telephone_number": "330-746-7400",
"fax_number": "330-746-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "JESSE",
"middle_name": "V",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2017-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OH",
"license": "APRN.CNS.09249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H166150",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MCNS03831",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2960167",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; 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.