Individual provider Active NPI

Allyson McLean, AG-ACNP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679964662
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
248403 Issued in AZ
Practice address
2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone
(602) 406-7868
Fax
(602) 294-8287
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 248403 AZ Primary
Acute Care Nurse Practitioner 363LA2100X APN .0991630 CO

Addresses

Primary practice location

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434

Mailing address

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone (602) 406-7868

Other identifiers 2

IdentifierTypeStateIssuer
23601752MedicaidCO
085006MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150320000292 CO Practitioner - Nurse Practitioner 5092032656
I20201013000362 AZ Practitioner - Nurse Practitioner 5092032656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

2910 N 3Rd Ave
Suite 200
Phoenix, AZ 85013-4434
Phone (602) 406-3181

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN .0991630COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Oct 5, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Jun 7, 2021 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 1, 2015 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Oct 9, 2023 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Oct 9, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 1, 2015 Accepting new patients
St Josephs Pathology Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Oct 5, 2020 Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2122 E Highland Ave
Ste 100
Phoenix, AZ 85016
Phone (480) 372-2111

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839

2910 N 3rd Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 406-3181

File 56765
Los Angeles, CA 90074

2535 S Downing St
Denver, CO 80210
Phone (720) 524-1367

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: allyson.mclean.1@31799.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1679964662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-7868",
            "fax_number": "602-294-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-7868",
            "fax_number": "602-294-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "ALLYSON",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "248403",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN .0991630",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23601752",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.