DARLENE INGRID MCLAUGHLIN A.R.N.P.
NPI 1306995097
Registered Nurse - Psychiatric/Mental Health, Adult in St Petersburg, FL

Q: What is Darlene Mclaughlin's NPI number?

The NPI number for Darlene Mclaughlin is 1306995097. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Darlene Mclaughlin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

4024 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 327-7656 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Darlene Ingrid Mclaughlin A.r.n.p. NPPES

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

DARLENE INGRID MCLAUGHLIN A.R.N.P. (NPI 1306995097) is an individual psychiatric/mental health, adult provider in St Petersburg, Florida, licensed in Florida (2835092) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1306995097

Entity TypeIndividualFemale

Primary Taxonomy163WP0809X

Provider Legal NameDARLENE INGRID MCLAUGHLINCredential: A.R.N.P.

Location Address4024 CENTRAL AVESt Petersburg, FL 33711-1239

Mailing Address2408 Premier Dr SGulfport, FL 33707-3908 · (727) 327-7656

Phone(727) 327-7656

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306995097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

License✔ Licensed in FL · 2835092

4024 CENTRAL AVE, St Petersburg, FL 33711

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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

Darlene Ingrid Mclaughlin A.r.n.p. 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 ID244228591

PECOS Enrollment IDI20040504001651

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 10

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

473 services265 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

270 services167 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

174 services124 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.

155 services75 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

153 services153 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

93 services93 patients

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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.

GAIL E CLARK LCSW

Social Worker (Clinical)

4024 CENTRAL AVE
ST PETERSBURG, FL 33711

Pinellas County (727) 327-7656

MS. ATTIA K SAEED LMHC

Counselor (Mental Health)

4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711

Pinellas County (727) 327-7656

MR. TIMOTHY ALLEN MORELLI B.A.

Counselor

4024 CENTRAL AVE
ST PETERSBURG, FL 33711

Pinellas County (727) 327-7656

EILEEN STONER LCSW

Social Worker (Clinical)

4024 CENTRAL AVE
ST PETERSBURG, FL 33711

Pinellas County (727) 327-7656

MS. RENEE LYNN KILROY MA

Counselor (Mental Health)

4024 CENTRAL AVE
ST PETERSBURG, FL 33711

Pinellas County (727) 327-7656

KRISTIN MATHRE LMFT

Marriage & Family Therapist

4024 CENTRAL AVE
ST PETERSBURG, FL 33711

Pinellas County (727) 327-7656

PAULINE A. FENZAU LMHC, PH.D.

Counselor (Mental Health)

4024 CENTRAL AVE
ST PETERSBURG, FL 33711

Pinellas County (727) 032-7765

MISS DEBORAH LYNN HEWITT

Counselor (Mental Health)

4024 CENTRAL AVE
ST PETERSBURG, FL 33711

Pinellas County (727) 543-8598

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 Darlene Mclaughlin's NPI number?

The NPI number for Darlene Mclaughlin is 1306995097. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Darlene Mclaughlin located?

Darlene Mclaughlin practices at 4024 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 327-7656.

What is Darlene Mclaughlin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Darlene Mclaughlin enrolled in Medicare?

Yes. Darlene Mclaughlin 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 Darlene Mclaughlin accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare and 1 other insurer list Darlene Mclaughlin 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 Darlene Mclaughlin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.