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CLORISSA M MCEACHERN CPNP-PC
NPI 1508410747
Nurse Practitioner - Pediatrics in Gaylord, MI

Active since July 25, 2019PECOS Enrolled
829 N CENTER AVE STE 230, GAYLORD, MI 49735(989) 731-7930(989) 731-7948 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2025, Aug 8, 2019, Jul 25, 2019 (3 updates tracked since 2019).

About Clorissa M Mceachern Cpnp-pc NPPES

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

CLORISSA M MCEACHERN CPNP-PC (NPI 1508410747) is an individual pediatrics provider in Gaylord, Michigan, licensed in Michigan (4704321562) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508410747
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCLORISSA M MCEACHERNCredential: CPNP-PC
Location Address829 N CENTER AVE STE 230Gaylord, MI 49735-1595
Mailing Address829 N Center Ave Ste 230Gaylord, MI 49735-1595
Phone(989) 731-7930
Fax(989) 731-7948
Sole ProprietorNo
Enumeration DateJuly 25, 2019
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1508410747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704321562
829 N CENTER AVE STE 230, Gaylord, MI 49735
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clorissa M Mceachern Cpnp-pc 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 Reassignment

Medicare enrollment records show Clorissa Mceachern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Munson Healthcare Otsego Memorial Hospital
Same address
Rural Health
829 N CENTER AVE
Gaylord, MI 49735
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1164628426 (989) 731-7708

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 49735 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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

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

KATIE LYNN FITZPATRICK
Nurse Practitioner (Pediatrics)
829 N CENTER AVE STE 230
GAYLORD, MI 49735
Otsego County (989) 731-7930

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 Clorissa Mceachern's NPI number?

The NPI number for Clorissa Mceachern is 1508410747. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Clorissa Mceachern located?

Clorissa Mceachern practices at 829 N Center Ave Ste 230, Gaylord, MI 49735. The listed phone number is (989) 731-7930.

What is Clorissa Mceachern's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Clorissa Mceachern enrolled in Medicare?

Yes. Clorissa Mceachern is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clorissa Mceachern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clorissa Mceachern reassigns Medicare benefits to Munson Healthcare Otsego Memorial Hospital (Gaylord, MI). The 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 Clorissa Mceachern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clorissa Mceachern accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Clorissa Mceachern 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 Clorissa Mceachern was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.