ALEXANDRA MARIE MCCLELLAN NP
NPI 1962107128
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Q: What is Alexandra Mcclellan's NPI number?

The NPI number for Alexandra Mcclellan is 1962107128. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Alexandra Mcclellan's specialty?

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

Active since April 04, 2023PECOS EnrolledAccepts Medicare Assignment

161 CECIL B MOORE AVE APT 204, PHILADELPHIA, PA 19122(215) 585-2144(267) 780-7032 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Jul 14, 2023, Apr 4, 2023 (3 updates tracked since 2023).

On this page

About Alexandra Marie Mcclellan Np NPPES

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

ALEXANDRA MARIE MCCLELLAN NP (NPI 1962107128) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027718) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962107128

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameALEXANDRA MARIE MCCLELLANCredential: NP

Location Address161 CECIL B MOORE AVE APT 204Philadelphia, PA 19122-3243

Mailing Address228 Park Ave S Ste 15314New York, NY 10003-1502 · (866) 306-2026 · Fax (833) 228-5591

Phone(215) 585-2144

Fax(267) 780-7032

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 4, 2023

Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1962107128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP027718

Also ListedRegistered NurseTaxonomy 163W00000X · License RN725016 (PA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License L8-0010697 (DE)

161 CECIL B MOORE AVE APT 204, Philadelphia, PA 19122

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Alexandra Marie Mcclellan Np 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 ID8325408750

PECOS Enrollment IDI20230718000540, I20240821000991, I20240924002104

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 19122 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 11

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

ELLEN BRIDGET LINDE CRNP

Nurse Practitioner