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MS. SHAWN MCCLURE MSN APN PMHNP-BC
NPI 1265084859
Nurse Practitioner - Psychiatric/Mental Health in Merrillville, IN

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
8555 TAFT ST, MERRILLVILLE, IN 46410(219) 769-4005 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2024, Sep 24, 2019, Sep 20, 2019 and 3 more (6 updates tracked since 2019).

About Ms. Shawn Mcclure Msn Apn Pmhnp-bc NPPES

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

MS. SHAWN MCCLURE MSN APN PMHNP-BC (NPI 1265084859) is an individual psychiatric/mental health provider in Merrillville, Indiana, licensed in Indiana (71009397A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265084859
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SHAWN MCCLURECredential: MSN APN PMHNP-BC
Location Address8555 TAFT STMerrillville, IN 46410-6123
Mailing Address8555 Taft StMerrillville, IN 46410-6123 · (219) 769-4005
Phone(219) 769-4005
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 12, 2019
Last NPPES UpdateMay 13, 20246 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1265084859 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
License✔ Licensed in IN · 71009397A
8555 TAFT ST, Merrillville, IN 46410
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ms. Shawn Mcclure Msn Apn 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 ID8628309549
PECOS Enrollment IDI20191008001076
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services42 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
26 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

MARY SULLIVAN BLS
Counselor (Mental Health)
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
MONIKA MARIE SEGALLY
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
MELISSA SANCHEZ BA
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
ABEL MARTINEZ BA
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
SHIRLEY H RAINFORD BA
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
MS. CHRISTINE M JUDA
Registered Nurse
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 937-3300
CRYSTAL KOMACSAR LCAC
Counselor (Addiction (Substance Use Disorder))
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
BREYAUNA SPENCER
Psychiatry & Neurology (Psychiatry)
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (313) 346-5235

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 Shawn Mcclure's NPI number?

The NPI number for Shawn Mcclure is 1265084859. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Shawn Mcclure located?

Shawn Mcclure practices at 8555 Taft St, Merrillville, IN 46410. The listed phone number is (219) 769-4005.

What is Shawn Mcclure's specialty?

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

Is Shawn Mcclure enrolled in Medicare?

Yes. Shawn Mcclure 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 Shawn Mcclure accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shawn Mcclure 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 Shawn Mcclure was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.