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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. JENNIFER INEZ MCLEAN-RUSS PMHNP-BC
NPI 1083356059
Clinical Nurse Specialist - Psychiatric/Mental Health in Durham, NC

Active since April 11, 2022PECOS Enrolled
3622 LYCKAN PKWY STE 4006, DURHAM, NC 27707(919) 390-1398(919) 910-5668 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Jul 19, 2026, Jun 18, 2025 and 3 more (6 updates tracked since 2022).

About Mrs. Jennifer Inez Mclean-russ Pmhnp-bc NPPES

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

MRS. JENNIFER INEZ MCLEAN-RUSS PMHNP-BC (NPI 1083356059) is an individual psychiatric/mental health provider in Durham, North Carolina, licensed in North Carolina (5016126) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Boston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083356059
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameMRS. JENNIFER INEZ MCLEAN-RUSSCredential: PMHNP-BC
Location Address3622 LYCKAN PKWY STE 4006Durham, NC 27707-2566
Mailing Address3622 Lyckan Pkwy Ste 4006Durham, NC 27707-2566 · (919) 390-1398 · Fax (919) 910-5668
Phone(919) 390-1398
Fax(919) 910-5668
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 11, 2022
Last NPPES UpdateJuly 20, 20266 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1083356059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in NC · 5016126
3622 LYCKAN PKWY STE 4006, Durham, NC 27707
Open in Google Maps ↗

Secondary Practice Location 1

Location 1554 N Main StSouth Boston, VA 24592-3206 · Phone (919) 390-1398 · Fax (984) 278-6614

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

Mrs. Jennifer Inez Mclean-russ Pmhnp-bc 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 ID749717023
PECOS Enrollment IDI20241227000669
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 27707 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

PROVISIONS2LIVE BEHAVIORAL HEALTH PLLC
Clinical Nurse Specialist (Psychiatric/Mental Health)
3622 LYCKAN PKWY STE 4006
DURHAM, NC 27707
Durham County (919) 390-1398

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 Jennifer Mclean-russ's NPI number?

The NPI number for Jennifer Mclean-russ is 1083356059. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Jennifer Mclean-russ located?

Jennifer Mclean-russ practices at 3622 Lyckan Pkwy Ste 4006, Durham, NC 27707. The listed phone number is (919) 390-1398.

What is Jennifer Mclean-russ's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Jennifer Mclean-russ enrolled in Medicare?

Yes. Jennifer Mclean-russ 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.

What insurance does Jennifer Mclean-russ accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jennifer Mclean-russ as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Mclean-russ was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.