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DR. ANGELLA KALYN MCCULLY DNP-FNP, ARNP-C, NLC
NPI 1285259937
Nurse Practitioner - Family in Warrenton, OR

Active since June 09, 2020Opted out of Medicare · through Oct 1, 2026
100/100
CMS Quality Rating
1639 SE ENSIGN LN STE B103, WARRENTON, OR 97146(503) 338-4500(503) 338-4501 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2022, Oct 28, 2020, Jun 9, 2020 (3 updates tracked since 2020).

About Dr. Angella Kalyn Mccully Dnp-fnp, Arnp-c, Nlc NPPES

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

DR. ANGELLA KALYN MCCULLY DNP-FNP, ARNP-C, NLC (NPI 1285259937) is an individual family provider in Warrenton, Oregon, licensed in Oregon (202103441NP-PP) and active in the NPI registry since June 2020. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285259937
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ANGELLA KALYN MCCULLYCredential: DNP-FNP, ARNP-C, NLC
Location Address1639 SE ENSIGN LN STE B103Warrenton, OR 97146-7308
Mailing Address2111 Exchange StAstoria, OR 97103-3329 · (503) 325-4321
Phone(503) 338-4500
Fax(503) 338-4501
Sole ProprietorNo
Enumeration DateJune 9, 2020
Last NPPES UpdateFebruary 23, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1285259937 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
Licenses✔ Licensed in OR · 202103441NP-PP✔ Licensed in WA · AP61076583
1639 SE ENSIGN LN STE B103, Warrenton, OR 97146
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Angella Kalyn Mccully Dnp-fnp, Arnp-c, Nlc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97146 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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

Other Providers at the Same Location NPPES 5

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

MR. PETER WOODRING NP
Nurse Practitioner (Gerontology)
1639 SE ENSIGN LN STE B103
WARRENTON, OR 97146
Clatsop County (503) 338-4500
SARAH JULINA ULRICH PA-C
Physician Assistant (Medical)
1639 SE ENSIGN LN STE B103
WARRENTON, OR 97146
Clatsop County (503) 338-4500
DR. FAITH MARIE KAYES MD, PHARMD
Family Medicine
1639 SE ENSIGN LN STE B103
WARRENTON, OR 97146
Clatsop County (503) 338-4500
JENNIFER MARIE BROWN M.D.
Family Medicine
1639 SE ENSIGN LN STE B103
WARRENTON, OR 97146
Clatsop County (503) 338-4500
COLLIN SMITH
Social Worker (Clinical)
1639 SE ENSIGN LN STE B103
WARRENTON, OR 97146
Clatsop County (503) 338-4500

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 Angella Mccully's NPI number?

The NPI number for Angella Mccully is 1285259937. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Angella Mccully located?

Angella Mccully practices at 1639 SE Ensign Ln Ste B103, Warrenton, OR 97146. The listed phone number is (503) 338-4500.

What is Angella Mccully's specialty?

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

Is Angella Mccully enrolled in Medicare?

No. Angella Mccully has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Angella Mccully was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.