TONYA MCCLELLAN FNP-C
NPI 1396259644
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Tonya Mcclellan's NPI number?

The NPI number for Tonya Mcclellan is 1396259644. It was assigned to this individual provider in the NPPES registry on November 24, 2017.

Q: What is Tonya Mcclellan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tonya Mcclellan was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 24, 2017PECOS Enrolled

84.24/100

CMS Quality Rating

PIMC, 4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2019, Nov 24, 2017 (2 updates tracked since 2017).

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About Tonya Mcclellan Fnp-c NPPES

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

TONYA MCCLELLAN FNP-C (NPI 1396259644) is an individual family provider in Phoenix, Arizona, licensed in District Of Columbia (1008206) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cape May.

NPPES Registry Identity

NPI1396259644

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTONYA MCCLELLANCredential: FNP-C

Location AddressPIMC, 4212 N 16TH STPhoenix, AZ 85016

Mailing AddressPimc - Pnc Po Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1200

Phone(602) 263-1200

Sole ProprietorNo

Enumeration DateNovember 24, 2017

Last NPPES UpdateSeptember 11, 20192 updates tracked since enumeration

✔ NPI 1396259644 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

License✔ Licensed in DC · 1008206

PIMC, Phoenix, AZ 85016

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Munro AveCape May, NJ 08204-5000 · Phone (804) 504-7200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonya Mcclellan Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Tonya Mcclellan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

2.0 mi

Public Health or Welfare

4212 N 16TH ST
Phoenix, AZ 85016

Reassigned Medicare billing, Texas enrollment
599 clinicians in this Medicare group

NPI 1083643738 (602) 263-1200

Tuba City Regional Health Care Corporation

93 mi

Family Medicine

HIGHWAY 89 NORTH AT THE 466 MILE MARKER, 1/8 MILE N OF CAMERON CHAPTER HOUSE
Cameron, AZ 86020

Reassigned Medicare billing, Texas enrollment
540 clinicians in this Medicare group

NPI 1134382211 (928) 283-2672

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility

206 mi

General Acute Care Hospital

NAVAJO ROUTE 4
Pinon, AZ 86510

Reassigned Medicare billing, Texas enrollment
476 clinicians in this Medicare group

NPI 1396761565 (928) 725-3220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

84.24/100

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

Scored as part of a group practice

Quality

64.91

Promoting Interoperability

Improvement Activities

Cost

67.56

Other Providers at the Same Location NPPES 4

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

MRS. NADINE RAE BROWN RDH

Dental Hygienist

PIMC, 4212 N. 16TH ST
PHOENIX, AZ 85016

Maricopa County (602) 263-1200

DALE LEONARD MCGEE M.D.

Emergency Medicine

PIMC, 4212 NORTH 16TH STREET
PHOENIX, AZ 85016

Maricopa County (602) 263-1200

MS. SARAH LEONE LCSW

Social Worker (Clinical)

PIMC, 4212 N. 16TH ST
PHOENIX, AZ 85016

Maricopa County (602) 263-1200

MYRA MIKE CPNP-PC

Nurse Practitioner (Pediatrics)

PIMC, 4212 N 16TH STREET
PHOENIX, AZ 85016

Maricopa County (602) 263-1200

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 Tonya Mcclellan's NPI number?

The NPI number for Tonya Mcclellan is 1396259644. It was assigned to this individual provider in the NPPES registry on November 24, 2017.

Where is Tonya Mcclellan located?

Tonya Mcclellan practices at Pimc 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Tonya Mcclellan's specialty?

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

Is Tonya Mcclellan enrolled in Medicare?

Yes. Tonya Mcclellan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tonya Mcclellan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Mcclellan reassigns Medicare benefits to 3 organizations: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Phoenix, AZ), Tuba City Regional Health Care Corporation (Cameron, AZ) and Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Pinon, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonya Mcclellan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tonya Mcclellan was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.