Shanna Macclaren, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18282121049 Issued in MI

Practice address

1619 Anderson Rd
Petoskey, MI 49770-9256

Phone

(231) 417-6050

Fax

(231) 213-8749

NPI assigned

Oct 22, 2018

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 MI

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

State licenses

Practice roles

Locations

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.

• Apogee Medical Group, Michigan, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1053655134

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1407322985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 ANDERSON RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709256",
            "telephone_number": "231-417-6050",
            "fax_number": "231-213-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 ANDERSON RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709256",
            "telephone_number": "231-417-6050",
            "fax_number": "231-213-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCLAREN",
        "first_name": "SHANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "18282121049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Lucido, LLP
• Johanna B. Lund, N.P.
• Claudia Ann Lutosky, PH.D.
• Nancy Lynn Lyons, M.S. CCC/SLP
• M. Elizabeth Swenor, DO, PC
• Lisa Sonia Maclellan, FNP-C
• Elizabeth Madell, LMT
• Elizabeth Barron Madison, MD, MA
• Jill Magrum, MA, CAADC-D
• Mallory Hallett Mahoney, ND, RAC

• Family Nurse Practitioner in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.