Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REBECCA MCCLAY
NPI 1629613070
Nurse Practitioner in Niles, MI

Active since November 08, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
31 N SAINT JOSEPH AVE, NILES, MI 49120(269) 985-4632 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Aug 24, 2026, Apr 2, 2026 and 3 more (6 updates tracked since 2019).

About Rebecca Mcclay NPPES

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

REBECCA MCCLAY (NPI 1629613070) is an individual nurse practitioner in Niles, Michigan, licensed in Michigan (4704406707) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629613070
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameREBECCA MCCLAY
Location Address31 N SAINT JOSEPH AVENiles, MI 49120-2207
Mailing Address31 N Saint Joseph AveNiles, MI 49120-2207
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 8, 2019
Last NPPES UpdateSeptember 30, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1629613070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704406707
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 938607 (TX)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 225486 (OK), 1029371 (TX)
31 N SAINT JOSEPH AVE, Niles, MI 49120

Secondary Practice Locations 3

Location 16161 S Yale AveTulsa, OK 74136-1902 · Phone (918) 502-1900 · Fax (918) 494-6303
Location 244201 Dequindre RdTroy, MI 48085-1117 · Phone (248) 964-5000
Location 3400 Rosalind Redfern Grover PkwyMidland, TX 79701-5846 · Phone (432) 221-1111

Other Identifiers 1

Other1029371TX · State License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca Mcclay 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 ID446667158
PECOS Enrollment IDI20231017003376, I20240406000207
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

5

Medicare enrollment records show Rebecca Mcclay reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Audiologist
42 N SAINT JOSEPH AVE STE 300
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
Hospitalist
14700 LAKE SHORE DR
Charlevoix, MI 49720
  • Reassigned Medicare billing, Michigan enrollment
  • 73 clinicians in this Medicare group
General Practice
2006 HEALTH CAMPUS DR
Rockingham, VA 22801
  • Reassigned Medicare billing, Virginia enrollment
  • 369 clinicians in this Medicare group
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Pharmacy (Institutional Pharmacy)
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Practitioner (Family)
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120

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 Rebecca Mcclay's NPI number?

The NPI number for Rebecca Mcclay is 1629613070. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Rebecca Mcclay located?

Rebecca Mcclay practices at 31 N Saint Joseph Ave, Niles, MI 49120. The listed phone number is (269) 985-4632.

What is Rebecca Mcclay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebecca Mcclay enrolled in Medicare?

Yes. Rebecca Mcclay 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.

Which organizations bill Medicare for Rebecca Mcclay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Mcclay reassigns Medicare benefits to 5 organizations: Lakeland Medical Practices (Niles, MI), North Michigan Physician Services PC (Charlevoix, MI), Rmh Medical Group LLC (Rockingham, VA), Sentara Medical Group (Norfolk, VA) and Integris Ambulatory Care Corporation (Oklahoma City, OK). 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 Rebecca Mcclay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Mcclay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Rebecca Mcclay 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 Rebecca Mcclay affiliated with any hospitals?

According to CMS data, Rebecca Mcclay is affiliated with Lakeland Hospital, St Joseph, Beaumont Hospital, Troy and Sentara Rmh Medical Center.

When was this NPI record last updated?

The NPPES record for Rebecca Mcclay was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.