Alicia A McLaren, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704269117 Issued in MI

Practice address

1525 W Caro Rd
Caro, MI 48723-9686

Phone

(989) 860-0088

NPI assigned

Feb 26, 2020

Last updated

Aug 29, 2021By the provider in NPPES

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shattuck Family Physicians PLLCGroup PAC ID 4486949807, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alicia.mclaren.1@20296.direct.athenahealth.com
• Direct secure messaging: alicia.mclaren.1@20355.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15478/brand/1/csg/1/fhir/r4

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.

• Shattuck Family Physicians PLLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1801251194
  Medicare reassignment Care Compare group NPD
• Columbiaville Family Clinic PLLC

  dba Jehad Jafari Clinic

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1457716102
  Medicare reassignment NPD
• Gladwin Family Care PLLC

  • Multi-Specialty Clinic/Center
  • Gladwin, MI
  • NPI 1932788577
  Medicare reassignment NPD
• Saginaw Valley Walk in Clinic, PLLC

  dba Saginaw Valley Medical Care

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1770883738
  Medicare reassignment NPD
• Saginaw Valley Medical Care PLC

  • Infectious Disease Physician
  • Saginaw, MI
  • NPI 1982854451
  NPD
• St. Charles Family Clinic PLLC

  • Family Medicine Physician
  • Saint Charles, MI
  • NPI 1669837993
  NPD (past)

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

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630195200000",
    "number": "1629602909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239686",
            "telephone_number": "989-672-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239686",
            "telephone_number": "989-860-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Boardwalk Dr",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032324",
            "country_code": "US",
            "telephone_number": "989-791-3888",
            "fax_number": "989-791-3859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "673 E Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Gladwin",
            "state": "MI",
            "postal_code": "486242215",
            "country_code": "US",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2575 McLeod Dr N",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042857",
            "country_code": "US",
            "telephone_number": "989-797-5532",
            "fax_number": "989-797-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAREN",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704269117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Caro Region
• McLaren Caro Region
• McLaren Caro Region
• McLaren Caro Region
• McLaren Caro Region
• Donald Bion McLeod II, LLMSW, IDP
• Debra Meekins
• Kurt Meier, LMSW
• David Mellendorf
• Vickie L. Merchant, MA, LPC

• Gerontology Nurse Practitioner in Caro, MI
• Providers in Caro, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.