KARLA RENE MCCLAIN CRNP
NPI 1104310291
Nurse Practitioner - Psychiatric/Mental Health in Oxford, OH

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
421 S CAMPUS AVE, OXFORD, OH 45056(513) 529-3000 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2019, Aug 30, 2018, Jun 21, 2018 (3 updates tracked since 2018).

About Karla Rene Mcclain Crnp NPPES

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

KARLA RENE MCCLAIN CRNP (NPI 1104310291) is an individual psychiatric/mental health provider in Oxford, Ohio, licensed in Ohio (CNP022599) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104310291
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKARLA RENE MCCLAINCredential: CRNP
Location Address421 S CAMPUS AVEOxford, OH 45056-2487
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 853-4721
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 21, 2018
Last NPPES UpdateSeptember 16, 20193 updates tracked since enumeration
NPI 1104310291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in OH · CNP022599 Licensed in MD · R222828
421 S CAMPUS AVE, Oxford, OH 45056

Other Names 1

Former Name (1)Karla Rene Pedicone

Accepted 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

Karla Rene Mcclain Crnp 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 ID1355690611
PECOS Enrollment IDI20190925003529
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 45056 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Other Providers at the Same Location NPPES 13

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

Family Medicine
421 S CAMPUS AVE
OXFORD, OH 45056
Physical Therapist
421 S CAMPUS AVE
OXFORD, OH 45056
Speech-Language Pathologist
421 S CAMPUS AVE
OXFORD, OH 45056
Physical Therapist
421 S CAMPUS AVE
OXFORD, OH 45056
Family Medicine (Adult Medicine)
421 S CAMPUS AVE
OXFORD, OH 45056
Psychiatry & Neurology (Psychiatry)
421 S CAMPUS AVE, 195 HEALTH SERVICES CENTER
OXFORD, OH 45056
Physical Therapist
421 S CAMPUS AVE
OXFORD, OH 45056
Family Medicine (Adult Medicine)
421 S CAMPUS AVE
OXFORD, OH 45056

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 Karla Mcclain's NPI number?

The NPI number for Karla Mcclain is 1104310291. It was assigned to this individual provider in the NPPES registry on June 21, 2018. The provider is also known as Karla Rene Pedicone.

Where is Karla Mcclain located?

Karla Mcclain practices at 421 S Campus Ave, Oxford, OH 45056. The listed phone number is (513) 529-3000.

What is Karla Mcclain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karla Mcclain enrolled in Medicare?

Yes. Karla Mcclain 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 Karla Mcclain accept?

Health plans from CareSource, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Karla Mcclain 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 Karla Mcclain was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.