NICHOLE MARIE MACLELLAN FNP
NPI 1043584634
Nurse Practitioner - Family in Chesterfield, MO

Active since February 29, 2012PECOS EnrolledAccepts Medicare Assignment
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017(636) 735-4755 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2023, Nov 13, 2019, May 24, 2018 (3 updates tracked since 2018).

About Nichole Marie Maclellan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE MARIE MACLELLAN FNP (NPI 1043584634) is an individual family provider in Chesterfield, Missouri, licensed in Missouri (2011039959) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kirkwood, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1043584634
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLE MARIE MACLELLANCredential: FNP
Location Address15740 S OUTER 40 RDChesterfield, MO 63017-2004
Mailing AddressPo Box 772866Chicago, IL 60677-0166 · (314) 543-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 29, 2012
Last NPPES UpdateMarch 29, 20233 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
NPI 1043584634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2011039959
15740 S OUTER 40 RD, Chesterfield, MO 63017

Secondary Practice Location 1

Location 110700 Manchester Rd Ste EKirkwood, MO 63122-1307 · Phone (314) 428-9541

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nichole Marie Maclellan Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426211152
PECOS Enrollment IDI20120516000683
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Family Medicine
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Psychiatry & Neurology (Neurology)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Counselor (Professional)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Pediatrics)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Maclellan's NPI number?

The NPI number for Nichole Maclellan is 1043584634. It was assigned to this individual provider in the NPPES registry on February 29, 2012.

Where is Nichole Maclellan located?

Nichole Maclellan practices at 15740 S Outer 40 Rd, Chesterfield, MO 63017. The listed phone number is (636) 735-4755.

What is Nichole Maclellan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nichole Maclellan enrolled in Medicare?

Yes. Nichole Maclellan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nichole Maclellan was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.