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COREEN LYN MCCLELLAN NP
NPI 1639951643
Nurse Practitioner - Family in Spanish Fork, UT

Active since October 16, 2023PECOS Enrolled
2337 FAIRWAY DR, SPANISH FORK, UT 84660(970) 701-9217 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coreen Lyn Mcclellan Np NPPES

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

COREEN LYN MCCLELLAN NP (NPI 1639951643) is an individual family provider in Spanish Fork, Utah, licensed in Utah (13528242-4405) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639951643
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOREEN LYN MCCLELLANCredential: NP
Location Address2337 FAIRWAY DRSpanish Fork, UT 84660-9008
Mailing Address2337 Fairway DrSpanish Fork, UT 84660-9008 · (970) 701-9217
Phone(970) 701-9217
Sole ProprietorYes
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
✔ NPI 1639951643 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 UT · 13528242-4405
2337 FAIRWAY DR, Spanish Fork, UT 84660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select 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)

Coreen Lyn Mcclellan Np 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 Coreen Mcclellan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

A & c Johnston LLC
17 mi
Family Medicine
153 N 400 W # B6
Orem, UT 84057
  • Reassigned Medicare billing, Utah enrollment
  • 11 clinicians in this Medicare group
NPI 1962025452 (801) 921-2260

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

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 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.
45 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84660 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 Coreen Mcclellan's NPI number?

The NPI number for Coreen Mcclellan is 1639951643. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Coreen Mcclellan located?

Coreen Mcclellan practices at 2337 Fairway Dr, Spanish Fork, UT 84660. The listed phone number is (970) 701-9217.

What is Coreen Mcclellan's specialty?

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

Is Coreen Mcclellan enrolled in Medicare?

Yes. Coreen Mcclellan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Coreen Mcclellan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Coreen Mcclellan reassigns Medicare benefits to A & c Johnston LLC (Orem, UT). 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 Coreen Mcclellan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Coreen Mcclellan accept?

Health plans from Select Health list Coreen Mcclellan 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 Coreen Mcclellan was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.