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JESSE V MCCLAIN CNS
NPI 1396891792
Clinical Nurse Specialist - Adult Health in Youngstown, OH

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
1340 BELMONT AVE, STE 2200, YOUNGSTOWN, OH 44504(330) 746-7400(330) 746-7436 Get Directions Write a Review

NPPES record last updated: January 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse V Mcclain Cns NPPES

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

JESSE V MCCLAIN CNS (NPI 1396891792) is an individual adult health provider in Youngstown, Ohio, licensed in Ohio (APRN.CNS.09249) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396891792
Entity TypeIndividualMale
Primary Taxonomy364SA2200X
Provider Legal NameJESSE V MCCLAINCredential: CNS
Location Address1340 BELMONT AVE, STE 2200Youngstown, OH 44504-1125
Mailing Address1340 Belmont Ave, Ste 2200Youngstown, OH 44504-1125 · (330) 746-7400 · Fax (330) 746-7436
Phone(330) 746-7400
Fax(330) 746-7436
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJanuary 1, 2017
✔ NPI 1396891792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in OH · APRN.CNS.09249
1340 BELMONT AVE, Youngstown, OH 44504
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Other Identifiers 3

OtherH166150OH · Medicare Ptan
Medicaid2960167OH
OtherMCNS03831OH · Medicare Ptan

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

Jesse V Mcclain Cns 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 ID1254436272
PECOS Enrollment IDI20070420000063
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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services131 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.
75 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services37 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
24 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 15

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

DONALD JOSEPH TAMULONIS JR. MD
Psychiatry & Neurology (Neurology)
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
ADVANCED NEUROLOGY ASSOCIATES INC
Neuromusculoskeletal Medicine & OMM
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
LEONIDAS G VASSILAROS M.D.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488
RENEE SFERRA CNS
Clinical Nurse Specialist (Adult Health)
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
SHERIF A SOLIMAN M.D.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488
NATHANIEL S DOE M.D.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488
PHYSICIANS DIALYSIS COMPANY, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1340 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-2860
AUGUSTINE P BISCARDI D.O.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488

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 Jesse Mcclain's NPI number?

The NPI number for Jesse Mcclain is 1396891792. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jesse Mcclain located?

Jesse Mcclain practices at 1340 Belmont Ave Ste 2200, Youngstown, OH 44504. The listed phone number is (330) 746-7400.

What is Jesse Mcclain's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Jesse Mcclain enrolled in Medicare?

Yes. Jesse 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 Jesse Mcclain accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Jesse 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.

Is Jesse Mcclain affiliated with any hospitals?

According to CMS data, Jesse Mcclain is affiliated with St Elizabeth Youngstown Hospital and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Jesse Mcclain was last updated on January 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.