Courtney Heather McClendon, APRN

Key facts

NPI: 1962098384
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 53-79864-101 (KS)
Practice address: 204 S Main St
Yates Center, KS 66783-1444
Phone: (620) 625-2746
NPI assigned: Dec 19, 2020
Sex: Female
Sole proprietor: Yes

Organizations & group practices 3

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.

Southeast Kansas Mental Health Center Mental Health Clinic/Center (Including Community Mental Health Center) · Humboldt, KS · NPI 1467414771

Medicare reassignment Care Compare group NPD KS · SINGLE SPECIALTY
Mercy Hospital General Acute Care Hospital · Portland, ME · NPI 1629078712

Medicare reassignment Care Compare group NPD ME · SINGLE SPECIALTY
Mercy Hospital Rural Health Clinic/Center · Windham, ME · NPI 1396496378

Care Compare group NPD

Hospital & facility affiliations 2

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

Mercy Hospital General Acute Care Hospital · Portland, ME · NPI 1427313048

Care Compare affiliation Hospital
Mercy Hospital General Acute Care Hospital · Portland, ME · NPI 1629078712

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Southeast Kansas Mental Health Center (17 clinicians)
Mercy Hospital (307 clinicians)

Practice addresses (Care Compare)

1106 S 9TH St
Humboldt, KS 66748-1934
Phone (620) 473-2241

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

Hospital & facility affiliations

Northern Light Mercy Hospital Hospital · Portland, ME · CCN 200008

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in KS, ME
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210326000129	KS	Practitioner - Nurse Practitioner	8628485299	Reassigns benefits to 1 organization
I20230417001866	ME	Practitioner - Nurse Practitioner	8628485299	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
53-79864-101	KS	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Mercy Hospital		Current since Jun 4, 2023	Accepting new patients
Mercy Hospital	Single Specialty	Current since Jun 4, 2023	Accepting new patients
Southeast Kansas Mental Health Center	Single Specialty	Current since Mar 8, 2021	Accepting new patients

Locations

1322 S Grant Ave
Chanute, KS 66720
Phone (620) 365-8641

402 S Kansas Ave
Chanute, KS 66720
Phone (620) 431-7890

212 State St
Fort Scott, KS 66701
Phone (620) 223-5030

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

519 S Elm St
Garnett, KS 66032
Phone (620) 238-3883

1106 S 9th St
Humboldt, KS 66748
Phone (620) 473-2241

401 S Washington Ave
Iola, KS 66749
Phone (620) 365-0151

304 N Jefferson Ave
Iola, KS 66749
Phone (620) 365-5717

826 E Madison Ave
Iola, KS 66749
Phone (620) 365-1234

204 S Main St
Yates Center, KS 66783
Phone (620) 625-2162

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X	53-79864-101	KS	Yes

Addresses

Primary practice location

204 S Main St
Yates Center, KS 66783-1444

Mailing address

204 S Main St
Yates Center, KS 66783-1444
Phone (620) 625-2746

Other providers in Yates Center, KS

Deseret Nursing and Rehabilitation at Yates Center, Inc
Steven D Epler, D.D.S.
Grene Vision Group LLC
Sarah E Hodges, LSCSW
Janet Susan Leis, OTR/L
Kimberly Sue Mitchell, LMSW
Oh Yeah Inc
Terrie Lynne Royse, PT
Gerald J Sedlacek, RPH
Southeast Kansas Multi-County Health Dept.

All providers in Yates Center, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.