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LISA SONIA MACLELLAN FNP-C
NPI 1629637921
Nurse Practitioner in Petoskey, MI

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
3250 WOODS WAY STE 5, PETOSKEY, MI 49770(231) 881-9700(231) 881-9698 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2019, Jun 10, 2019 (2 updates tracked since 2019).

About Lisa Sonia Maclellan Fnp-c NPPES

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

LISA SONIA MACLELLAN FNP-C (NPI 1629637921) is an individual nurse practitioner in Petoskey, Michigan, licensed in Michigan (4704242836) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629637921
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA SONIA MACLELLANCredential: FNP-C
Location Address3250 WOODS WAY STE 5Petoskey, MI 49770-7628
Mailing Address5200 W Beeman RdEmpire, MI 49630-9739
Phone(231) 881-9700
Fax(231) 881-9698
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 10, 2019
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1629637921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704242836
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.
3250 WOODS WAY STE 5, Petoskey, MI 49770
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Accepted Insurance

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

Lisa Sonia Maclellan 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 ID1254660400
PECOS Enrollment IDI20190912002562
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.

Hospital Affiliations CMS Care Compare 2

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

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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.

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 Lisa Maclellan's NPI number?

The NPI number for Lisa Maclellan is 1629637921. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Lisa Maclellan located?

Lisa Maclellan practices at 3250 Woods Way Ste 5, Petoskey, MI 49770. The listed phone number is (231) 881-9700.

What is Lisa Maclellan's specialty?

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

Is Lisa Maclellan enrolled in Medicare?

Yes. Lisa Maclellan 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 Lisa Maclellan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lisa Maclellan 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 Lisa Maclellan affiliated with any hospitals?

According to CMS data, Lisa Maclellan is affiliated with Mclaren Northern Michigan and Chippewa County War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Maclellan was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.