David L McClain, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2134P Issued in KY

Practice address

60 Shelton LN
Russellville, KY 42276-7203

Phone

(270) 632-4514

Fax

(270) 632-4518

NPI assigned

Sep 23, 2005

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Vanderbilt University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Health Care of Logan Home health agency, Russellville, KY, CCN 187128
• The Medical Center at Russellville Hospital, Russellville, KY, CCN 180066
• Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Priority Primary Care LLC

  • Rural Health Clinic/Center
  • Russellville, KY
  • NPI 1609310358

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Priority Primary Care LLC

  • Rural Health Clinic/Center
  • Russellville, KY
  • NPI 1609310358
  Medicare reassignment
• Priority Primary Care

  • Internal Medicine Physician
  • Duluth, GA
  • NPI 1629122684
  NPD (past)

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

• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center at Russellville

  • Rural Acute Care Hospital
  • Russellville, KY
  • NPI 1124868963
  Care Compare affiliation
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Care Compare affiliation
• Kentucky in-Home Partner-II, LLC

  dba Lifeline Health Care of Logan

  • Home Health Agency
  • Russellville, KY
  • NPI 1093213076
  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1790771954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SHELTON LN",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422767203",
            "telephone_number": "270-632-4514",
            "fax_number": "270-632-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SHELTON LN",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422767203",
            "telephone_number": "270-632-4514",
            "fax_number": "270-632-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2134P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010121",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Physician Practice LLC
• Martha E Loomis, MFTA
• Lymphedema Therapy of Southern Ky LLC
• Laura Madison
• Joe V Massa, LPA
• Chad Meacham, CRNA
• Jeffrey Meade, LPCC
• Kristin Mitchell, RN
• Stacey Kay Mock
• Morgan Mudd, M.S. CCC-SLP

• Family Nurse Practitioner in Russellville, KY
• Providers in Russellville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.