AUTUMN MCCLELLAN FNP
NPI 1720656655
Nurse Practitioner - Family in Mcminnville, OR

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
1990 NW 21ST ST, MCMINNVILLE, OR 97128(503) 752-2838 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 7, 2026, May 13, 2025, Jan 27, 2022 and 3 more (6 updates tracked since 2021).

About Autumn Mcclellan Fnp NPPES

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

AUTUMN MCCLELLAN FNP (NPI 1720656655) is an individual family provider in Mcminnville, Oregon, licensed in Oregon (202107827NP-PP) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Northern Light Maine Coast Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720656655
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUTUMN MCCLELLANCredential: FNP
Location Address1990 NW 21ST STMcminnville, OR 97128-6769
Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739 · (856) 686-4393 · Fax (856) 694-5179
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 16, 2021
Last NPPES UpdateApril 7, 20266 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1720656655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 202107827NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 201505014RN (OR)
Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP251127 (ME)
1990 NW 21ST ST, Mcminnville, OR 97128

Secondary Practice Locations 3

Location 150 Union StEllsworth, ME 04605-1534 · Phone (207) 664-5311
Location 2149 NW 1st StWillamina, OR 97396-2707 · Phone (503) 843-4071 · Fax (503) 843-4070
Location 3560 Wallace Rd NW Ste 140Salem, OR 97304-3858 · Phone (971) 273-7299

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

Autumn Mcclellan 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 ID1456755610
PECOS Enrollment IDI20250520000948
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

3

Medicare enrollment records show Autumn Mcclellan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
10123 SE MARKET ST
Portland, OR 97216
  • Reassigned Medicare billing, Oregon enrollment
  • 167 clinicians in this Medicare group
Emergency Medicine
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 167 clinicians in this Medicare group
Hospitalist
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 99 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.

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.
14 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201313
Location447 North Main StreetPittsfield, ME 04967 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97128 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 Autumn Mcclellan's NPI number?

The NPI number for Autumn Mcclellan is 1720656655. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Autumn Mcclellan located?

Autumn Mcclellan practices at 1990 NW 21st St, Mcminnville, OR 97128. The listed phone number is (503) 752-2838.

What is Autumn Mcclellan's specialty?

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

Is Autumn Mcclellan enrolled in Medicare?

Yes. Autumn Mcclellan 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 Autumn Mcclellan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Mcclellan reassigns Medicare benefits to 3 organizations: Cep America LLC (Portland, OR), Emergency Medicine Services Of Maine, LLC (Ellsworth, ME) and Hospital Medicine Services Of Maine LLC (Ellsworth, ME). 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 Autumn Mcclellan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Mcclellan accept?

Health plans from Moda Health Plan, Inc. list Autumn 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.

Is Autumn Mcclellan affiliated with any hospitals?

According to CMS data, Autumn Mcclellan is affiliated with Northern Light Maine Coast Hospital and Northern Light Sebasticook Valley Hospital.

When was this NPI record last updated?

The NPPES record for Autumn Mcclellan was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.