LATASHA YVETTE MCCLELLAN RN, APRN, PMHNP-BC
NPI 1871101691
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Latasha Mcclellan's NPI number?

The NPI number for Latasha Mcclellan is 1871101691. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Q: What is Latasha Mcclellan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Latasha Mcclellan was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 17, 2020PECOS Enrolled

5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207(386) 487-0800 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2024, Apr 17, 2022, Jul 17, 2020 (3 updates tracked since 2020).

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About Latasha Yvette Mcclellan Rn, Aprn, Pmhnp-bc NPPES

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

LATASHA YVETTE MCCLELLAN RN, APRN, PMHNP-BC (NPI 1871101691) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11019091) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871101691

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLATASHA YVETTE MCCLELLANCredential: RN, APRN, PMHNP-BC

Location Address5776 SAINT AUGUSTINE RDJacksonville, FL 32207-8046

Mailing Address5776 Saint Augustine RdJacksonville, FL 32207-8046 · (904) 448-4700

Phone(386) 487-0800

Sole ProprietorNo

Enumeration DateJuly 17, 2020

Last NPPES UpdateDecember 2, 20243 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1871101691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11019091

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9452093 (FL)

5776 SAINT AUGUSTINE RD, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latasha Yvette Mcclellan Rn, Aprn, Pmhnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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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.

MRS. AMANDA KAY CALLAHAN LCSW

Social Worker (Clinical)