Active NPI
Jonette M McClelland, CRNP
- Pediatric Nurse Practitioner
- Washington, PA
National Provider Identifier
1912257551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP012367
- Practice address
- 37 Highland Avenue
Washington, PA 15301-4062 - Phone
- (724) 223-1067
- Fax
- (724) 223-1088
- NPI assigned
- Sep 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP012367 | PA | Primary |
Addresses
Primary practice location
37 Highland Avenue
Washington, PA 15301-4062
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012367 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics Inc | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc | Current | Accepting new patients |
Locations
1070 Old National Pike
Fredericktown, PA 15333
37 Highland Ave
Washington, PA 15301
Phone (724) 223-1067
Interoperability endpoints
- jonette.mcclelland.1@33484.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Fredericktown, PA
- NPI 1801877048
-
- Federally Qualified Health Center (FQHC)
- Donora, PA
- NPI 1164064002
-
- Specialist
- Fredericktown, PA
- NPI 1720339393
-
- Radiologic Technologist
- Fredericktown, PA
- NPI 1568566867
-
- Clinical Medical Laboratory
- Fredericktown, PA
- NPI 1811978166
-
- Cardiovascular Disease Physician
- Fredericktown, PA
- NPI 1902887250
-
- Podiatrist
- Fredericktown, PA
- NPI 1922089275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1912257551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 OLD NATIONAL PIKE",
"city": "FREDERICKTOWN",
"state": "PA",
"postal_code": "153332114",
"telephone_number": "724-632-6801",
"fax_number": "724-632-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 HIGHLAND AVENUE",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153014062",
"telephone_number": "724-223-1067",
"fax_number": "724-223-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAND",
"first_name": "JONETTE",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP012367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.