Individual provider Active NPI

Deann Marie McClellan

  • Women's Health Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1508476847
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
113250 Issued in NE
Practice address
3500 Central Ave Ste a
Kearney, NE 68847-2963
Phone
(308) 865-2740
NPI assigned
Aug 2, 2020
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113250 NE
Women's Health Nurse Practitioner 363LW0102X 113250 NE Primary

Addresses

Primary practice location

3500 Central Ave Ste a
Kearney, NE 68847-2963

Mailing address

PO Box 1210
Kearney, NE 68848-1210
Phone (308) 865-2740

Other practice location 1

101 W 24th St
Kearney, NE 68847-5358
Phone (308) 865-2740

Other practice location 2

816 22nd Ave
Kearney, NE 68845-2234
Phone (308) 865-2263

Other practice location 3

22625 130th Rd
Riverdale, NE 68870-7105
Phone (308) 627-3075

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.bryanhealth.com/locations/hospitals/krmc/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20201125001451 NE Practitioner - Nurse Practitioner 5395156293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contemporary Obstetrics and Gynecology PCGroup PAC ID 1254488901, 7 clinicians

Practice addresses (Care Compare)

3500 Central Ave
Suite a
Kearney, NE 68847-2963
Phone (308) 865-2740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113250NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney CurrentSince Jan 1, 2022 Accepting new patients
Bryan Hospital Kearney CurrentSince Jan 1, 2022 Accepting new patients
Contemporary Obstetrics & Gynecology PC CurrentSince Jul 8, 2024 Accepting new patients

Locations

101 W 24th St
Kearney, NE 68847
Phone (308) 251-5035

101 W 24th St
Ste 1
Kearney, NE 68847
Phone (308) 865-2740

3500 Central Ave
Ste A
Kearney, NE 68847
Phone (308) 237-2273

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

Interoperability endpoints

  • Direct secure messaging: deann.mcclellan.1@20449.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20449/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1508476847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481210",
            "telephone_number": "308-865-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CENTRAL AVE STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472963",
            "telephone_number": "308-865-2740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 24th St",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688475358",
            "country_code": "US",
            "telephone_number": "308-865-2740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688452234",
            "country_code": "US",
            "telephone_number": "308-865-2263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22625 130th Rd",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "NE",
            "postal_code": "688707105",
            "country_code": "US",
            "telephone_number": "308-627-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "DEANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113250",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "113250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.bryanhealth.com/locations/hospitals/krmc/",
            "affiliation": "N",
            "endpointDescription": "Kearney Regional Medical Center website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact info",
            "address_1": "816 22nd Ave",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688452234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.