KANDACE SUZETTE MCCLELLAN PA-C NPI 1760833388

NPI Information

  • NPI: 1760833388
  • Provider Name: KANDACE SUZETTE MCCLELLAN, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 N PENNSYLVANIA AVE STE 920
    ROSWELL, NM
    ZIP 88201
  • Phone: (575) 208-2509

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NPI Details

Kandace Suzette Mcclellan, PA-C is a physician assistant in Roswell, NM. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Kandace Suzette Mcclellan, PA-C NPI is 1760833388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 N PENNSYLVANIA AVE STE 920
ROSWELL, NM
ZIP 88201-779
Phone: (575) 208-2509

The NPI 1760833388 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Urinalysis, manual test (HCPCS:81002)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)

The enumeration date for this NPI number is 6/24/2016 and was last updated on 3/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363A00000XPhysician AssistantPA2016-0067NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110601309MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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