Individual provider Active NPI

Michelle McClellan, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midland, TX
National Provider Identifier
1619608924
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1105878 Issued in TX
Practice address
214 W Texas Ave Ste 607
Midland, TX 79701-4610
Phone
(432) 276-0998
Fax
(432) 216-0972
NPI assigned
Jun 19, 2022
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11030722 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1105878 TX Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 940041 TX

Addresses

Primary practice location

214 W Texas Ave Ste 607
Midland, TX 79701-4610

Mailing address

214 W Texas Ave Ste 607
Midland, TX 79701-4610
Phone (432) 231-0524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240625002694 TX Practitioner - Nurse Practitioner 1850364902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

400 N Carver St
Permian Basin Community Centers
Midland, TX 79701-3602
Phone (432) 570-3385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
940041TXMDPsychiatric/Mental Health Registered Nurse
11030722FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jun 1, 2024 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Current Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jun 1, 2024 Accepting new patients

Locations

400 N Carver St
Midland, TX 79701
Phone (432) 570-3385

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

3128 Kermit Hwy
Odessa, TX 79764
Phone (432) 570-3385

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": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1619608924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W TEXAS AVE STE 607",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797014610",
            "telephone_number": "432-231-0524",
            "fax_number": "432-216-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W TEXAS AVE STE 607",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797014610",
            "telephone_number": "432-276-0998",
            "fax_number": "432-216-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "MICHELLE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11030722",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1105878",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "940041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.