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

SANDRA MCCLAIN
NPI 1821638479
Nurse Practitioner - Family in Lexington, KY

Q: What is Sandra Mcclain's NPI number?

The NPI number for Sandra Mcclain is 1821638479. It was assigned to this individual provider in the NPPES registry on January 12, 2020.

Q: What is Sandra Mcclain's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Mcclain was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.

Active since January 12, 2020PECOS Enrolled

800 ROSE ST, LEXINGTON, KY 40536(859) 257-9555 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Feb 22, 2025, Mar 11, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Sandra Mcclain NPPES

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

SANDRA MCCLAIN (NPI 1821638479) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3012944) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821638479

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANDRA MCCLAIN

Location Address800 ROSE STLexington, KY 40536-7001

Mailing Address385 Copperas HolwMorehead, KY 40351-8295 · (606) 356-6935

Phone(859) 257-9555

Sole ProprietorNo

Enumeration DateJanuary 12, 2020

Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2026

✔ NPI 1821638479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3012944

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 3012944 (KY)

800 ROSE ST, Lexington, KY 40536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Mcclain 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 Sandra Mcclain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caremed Health Solutions Of Kentucky, LLC

106 mi

Multi-Specialty

1820 OAKVIEW RD
Ashland, KY 41101

Reassigned Medicare billing, Kentucky enrollment
75 clinicians in this Medicare group

NPI 1326789462 (845) 521-9991

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,537 services80 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

86 services46 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

55 services28 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

17 services17 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 20

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

DR. JEREMY WAYNE THACKER M.D.

Radiology (Diagnostic Radiology)

800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536

Fayette County (859) 257-4457

DR. KIRK PHILLIP HEITMAN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

800 ROSE ST, MS117
LEXINGTON, KY 40536

Fayette County (859) 257-1446

HARISH RAM MD

Anesthesiology

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-5956

MS. YVONNE P RICE APRN NP-C

Nurse Practitioner (Family)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 218-1779

VANESSA D. SMITH MD

Pathology (Anatomic Pathology)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6183

JASMINE HOWARD APRN

Nurse Practitioner (Acute Care)

800 ROSE ST, MN604
LEXINGTON, KY 40536

Fayette County (859) 323-6047

MITCHELL ALEXANDER MIGUEL M.D.

Hospitalist

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6047

LEAH RAY YEAGER APRN

Nurse Practitioner (Family)

800 ROSE ST, CC417
LEXINGTON, KY 40536

Fayette County (859) 257-1223

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 Sandra Mcclain's NPI number?

The NPI number for Sandra Mcclain is 1821638479. It was assigned to this individual provider in the NPPES registry on January 12, 2020.

Where is Sandra Mcclain located?

Sandra Mcclain practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 257-9555.

What is Sandra Mcclain's specialty?

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

Is Sandra Mcclain enrolled in Medicare?

Yes. Sandra Mcclain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Mcclain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Mcclain reassigns Medicare benefits to Caremed Health Solutions Of Kentucky, LLC (Ashland, KY). 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 Sandra Mcclain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Mcclain accept?

Health plans from CareSource list Sandra Mcclain 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 Sandra Mcclain was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.