NPIMap

Individual provider Active NPI

Vanessa R. McClellan, DO

  • Family Medicine Physician
  • Fruita, CO
National Provider Identifier
1407177579
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0050319 Issued in CO
Practice address
401 Kokopelli Blvd Ste 1
Fruita, CO 81521-3308
Phone
(970) 858-9894
Fax
(970) 858-1331
NPI assigned
Jun 11, 2010
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0050319 CO Primary

Addresses

Primary practice location

401 Kokopelli Blvd Ste 1
Fruita, CO 81521-3308

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-9894

Other practice location 1

300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-3900

Other practice location 2

2237 Redlands Pkwy
Grand Junction, CO 81507-1101
Phone (970) 858-9894

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vanessamcclellan1@fhwco.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000953 CO Practitioner - Family Practice 2567606866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

281 N Plum St
Fruita, CO 81521-2100

P O Box
Suite 130
Fruita, CO 81521-0130

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association CurrentSince Jan 1, 2014 Accepting new patients
Lower Valley Hospital Association Family Medicine Current Accepting new patients
Lower Valley Hospital Association CurrentSince Jan 1, 2014 Accepting new patients
Lower Valley Hospital Association CurrentSince Oct 7, 2025 Accepting new patients
Lower Valley Hospital Association Family Medicine Past Accepting new patients

Locations

281 N Plum St
Fruita, CO 81521
Phone (970) 858-2530

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

300 W Ottley Ave
#W
Fruita, CO 81521

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

2237 Redlands Pkwy
Grand Junction, CO 81507
Phone (970) 858-9894

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Health West HospitalFruita, CO, CCN 061302 Hospital Corporate Director Jan 8, 2016
Family Health WestFruita, CO, CCN 06Z302 Hospital Corporate Director Jan 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1407177579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KOKOPELLI BLVD STE 1",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815213308",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-3900",
            "fax_number": "970-858-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2237 Redlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815071101",
            "country_code": "US",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "VANESSA",
        "middle_name": "R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0050319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanessamcclellan1@fhwco.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Family Health West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "300 W Ottley Ave",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815212118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.