Individual provider Active NPI

Sean McClure, FNP

  • Family Nurse Practitioner
  • Salina, KS
National Provider Identifier
1457908261
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-78909-062 Issued in KS
Practice address
2770 S 9TH St
Salina, KS 67401-7601
Phone
(785) 565-3141
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 53-78909-062 KS Primary

Addresses

Primary practice location

2770 S 9TH St
Salina, KS 67401-7601

Mailing address

709 Highland Ridge Dr Apt 2B
Manhattan, KS 66503-0409
Phone (785) 565-3141

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL salina

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20191023001935 KS Practitioner - Nurse Practitioner 7517299688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-78909-062KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Healthcare Corporation CurrentSince Oct 12, 2020 Accepting new patients
Newton Healthcare Corporation CurrentSince Oct 12, 2020 Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

1755 E 61st St N
Park City, KS 67219
Phone (316) 440-4466

Organizations & group practices 2

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1457908261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HIGHLAND RIDGE DR APT 2B",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665030409",
            "telephone_number": "785-565-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S 9TH ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017601",
            "telephone_number": "785-565-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "SEAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78909-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "salina",
            "affiliation": "N",
            "address_1": "2770 S 9th St",
            "city": "Salina",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674017601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.