MARY MARGARET MCCLELEN DNP, FNP-C
NPI 1609614817
Nurse Practitioner - Family in Fort Worth, TX

Active since July 20, 2024PECOS EnrolledAccepts Medicare Assignment
5750 W VICKERY BLVD STE 104, FORT WORTH, TX 76107(817) 732-2878 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, Jul 20, 2024 (2 updates tracked since 2024).

About Mary Margaret Mcclelen Dnp, Fnp-c NPPES

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

MARY MARGARET MCCLELEN DNP, FNP-C (NPI 1609614817) is an individual family provider in Fort Worth, Texas, licensed in Texas (1169183) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609614817
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MARGARET MCCLELENCredential: DNP, FNP-C
Location Address5750 W VICKERY BLVD STE 104Fort Worth, TX 76107-7448
Mailing Address3095 Bellaire Ranch Dr Apt 231Fort Worth, TX 76109-1819 · (319) 631-1679
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 20, 2024
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1609614817 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 TX · 1169183
5750 W VICKERY BLVD STE 104, Fort Worth, TX 76107

Secondary Practice Location 1

Location 13095 Bellaire Ranch Dr Apt 231Fort Worth, TX 76109-1819 · Phone (319) 631-1679

Accepted 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

Mary Margaret Mcclelen Dnp, Fnp-c 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 ID6608302823
PECOS Enrollment IDI20241211003804
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 12

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

Physician Assistant
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107
Nurse Practitioner (Family)
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107
Physician Assistant
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107
Physician Assistant
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107
Physician Assistant
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107
Family Medicine
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107
Physician Assistant
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107
Family Medicine
5750 W VICKERY BLVD STE 104
FORT WORTH, TX 76107

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 Mary Mcclelen's NPI number?

The NPI number for Mary Mcclelen is 1609614817. It was assigned to this individual provider in the NPPES registry on July 20, 2024.

Where is Mary Mcclelen located?

Mary Mcclelen practices at 5750 W Vickery Blvd Ste 104, Fort Worth, TX 76107. The listed phone number is (817) 732-2878.

What is Mary Mcclelen's specialty?

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

Is Mary Mcclelen enrolled in Medicare?

Yes. Mary Mcclelen 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 Mary Mcclelen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mary Mcclelen 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 Mary Mcclelen was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.