Individual provider Active NPI

Tania Burey McLean, ARNP

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1760843304
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9235488 Issued in FL
Practice address
4182 SW Baird St
Port St Lucie, FL 34953-3136
Phone
(561) 714-6059
NPI assigned
Mar 9, 2016
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9235488 FL Primary

Addresses

Primary practice location

4182 SW Baird St
Port St Lucie, FL 34953-3136

Mailing address

4182 SW Baird St
Port St Lucie, FL 34953-3136
Phone (561) 714-6059

Other names 1

  • Tania Burey McLean Other name

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
I20160913000488 FL Practitioner - Nurse Practitioner 5890081145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4182 SW Baird St
Port St Lucie, FL 34953-3136
Phone (561) 714-6059

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9235488FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tania McLean Adult & Geriatric Primary Care Services, LLC CurrentSince May 7, 2020 Accepting new patients
Rebecca a Prostko MD PA CurrentSince Dec 25, 2018 Accepting new patients

Locations

938 SW Martin Downs Blvd
Palm City, FL 34990
Phone (772) 221-7620

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

Hospital & facility affiliations 6

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1760843304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 SW BAIRD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533136",
            "telephone_number": "561-714-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 SW BAIRD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533136",
            "telephone_number": "561-714-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUREY MCLEAN",
        "first_name": "TANIA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9235488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "BUREY MCLEAN",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.