STEPHANIE M MCLAIN FNP
NPI 1548954878
Nurse Practitioner - Family in Queensbury, NY

Active since June 08, 2023PECOS EnrolledAccepts Medicare Assignment
6 HEARTS WAY, ADIRONDACK CARDIOLOGY, QUEENSBURY, NY 12804(518) 792-1233(518) 792-6854 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Stephanie M Mclain Fnp NPPES

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

STEPHANIE M MCLAIN FNP (NPI 1548954878) is an individual family provider in Queensbury, New York, licensed in New York (F352309) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548954878
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE M MCLAINCredential: FNP
Location Address6 HEARTS WAY, ADIRONDACK CARDIOLOGYQueensbury, NY 12804
Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-5924 · Fax (518) 926-6983
Fax(518) 792-6854
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 8, 2023
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedDecember 22, 2023
NPI 1548954878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F352309
Also ListedRegistered NurseTaxonomy 163W00000X · License 751075 (NY)
6 HEARTS WAY, Queensbury, NY 12804

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

Stephanie M Mclain Fnp 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 ID4789046087
PECOS Enrollment IDI20230818000604
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 5

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 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.
173 services165 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.
71 services48 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.
62 services48 patients
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.
49 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12804 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 18

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

Physician Assistant (Medical)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Internal Medicine (Cardiovascular Disease)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Internal Medicine (Cardiovascular Disease)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Internal Medicine (Clinical Cardiac Electrophysiology)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Physician Assistant
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Internal Medicine (Cardiovascular Disease)
6 HEARTS WAY
QUEENSBURY, NY 12804
Physician Assistant
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Physician Assistant (Medical)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804

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 Stephanie Mclain's NPI number?

The NPI number for Stephanie Mclain is 1548954878. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Stephanie Mclain located?

Stephanie Mclain practices at 6 Hearts Way Adirondack Cardiology, Queensbury, NY 12804. The listed phone number is (518) 792-1233.

What is Stephanie Mclain's specialty?

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

Is Stephanie Mclain enrolled in Medicare?

Yes. Stephanie Mclain 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.

Is Stephanie Mclain affiliated with any hospitals?

According to CMS data, Stephanie Mclain is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Mclain was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.