Individual provider Active NPI

Jenny-Lyn Meredith McClain, FNP-C

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1740806314
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007598 Issued in FL
Practice address
1815 S Kanner Hwy
Stuart, FL 34994-7204
Phone
(772) 288-2992
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 11007598 FL Primary

Addresses

Primary practice location

1815 S Kanner Hwy
Stuart, FL 34994-7204

Mailing address

1320 Mallard CT
Fort Pierce, FL 34982-3334

Other practice location 1

1401 N Lawnwood Cir
Fort Pierce, FL 34950-4835
Phone (772) 465-6484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210909000253 FL Practitioner - Nurse Practitioner 6507262011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1815 S Kanner Hwy
Stuart, FL 34994-7204
Phone (772) 288-2992

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007598FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Oct 1, 2021 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1304 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (561) 489-6636

1401 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (561) 465-6484

1945 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (561) 286-9400

1815 S Kanner Hwy
Stuart, FL 34994
Phone (772) 288-2992

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jenny-lyn.mcclain.1@2183.direct.athenahealth.com

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1740806314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MALLARD CT",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349947204",
            "telephone_number": "772-288-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Lawnwood Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504835",
            "country_code": "US",
            "telephone_number": "772-465-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "JENNY-LYN",
        "middle_name": "MEREDITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.