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Active NPI 1629637921 Individual Practitioner Female Practitioner

Lisa Sonia Maclellan , FNP-C

Nurse Practitioner • Petoskey, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Maclellan, FNP-C is a certified Nurse Practitioner practicing in Petoskey, MI. With approximately 8 years of clinical experience since completing medical education in 2018, Lisa Maclellan delivers high-quality medical care to the local community at 3250 WOODS WAY STE 5.

Lisa Maclellan is affiliated with Theoria Medical and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, smoking and tobacco use intensive counseling, more than, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3250 Woods Way Ste 5

Petoskey, MI 497707628

Telephone 2318819700
Fax 2318819698

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Petoskey, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs +1.4 yrs vs City Avg
City Avg: 6.6 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Petoskey, MI (3626 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maclellan (8 Years) 8 Yrs
Petoskey Specialty Average (6.6 Years) 6.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
202 144 $219.00 $89.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
26 25 $262.00 $120.03
99407 Smoking and tobacco use intensive counseling, more than 10 minutes
15 12 $55.00 $24.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $297.00 $136.74

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704242836

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Theoria Medical

330 Lincoln Ave, Iron River, MI 499358452

Phone: 8104455300

Secondary Practice Locations

5200 W Beeman Rd

Empire, MI 496309739

Phone: 5612759798

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Andris Kazmers , MD

Surgery - Vascular Surgery

NPI 1215991096

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location August 27, 2019

Registered at 3250 WOODS WAY STE 5, PETOSKEY, MI 497707628 (Tel: 2318819700)

NPI Profile Active June 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2019

Registered at 5200 W BEEMAN RD, EMPIRE, MI 496309739 (Tel: 5612759798)

📍
Updated Business Mailing Address June 10, 2019

Registered at 5200 W BEEMAN RD, EMPIRE, MI 496309739

👤
Provider Name / Credentials Updated June 10, 2019

Recorded as LISA MACLELLAN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2019

Nurse Practitioner (License #4704242836 in MI)

🟢
Initial NPI Registration & Enumeration June 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629637921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2019
Last Update: August 27, 2019
Sole Proprietor: Yes

Mailing Address

5200 W Beeman Rd

Empire, MI 496309739

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.