Jacob Mcclellan, DO
NPI 1205637469 · Student in an Organized Health Care Education/Training Program · Warren, MI
Enrolled with Medicare as Order and Referring Only - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Mcclellan, DO is a Student in an Organized Health Care Education/Training Program provider in Warren, MI (NPI 1205637469).
Provider details
- NPI number
- 1205637469
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-03-24
- Certified
- 2025-03-23
Frequently asked questions
- What is Jacob Mcclellan's NPI number?
- Jacob Mcclellan's National Provider Identifier (NPI) is 1205637469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Mcclellan's specialty?
- Jacob Mcclellan is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jacob Mcclellan located?
- Jacob Mcclellan's practice location on file with NPPES is 11900 E 12 Mile Rd Ste 205, Warren, MI 48093-3499.
- What is Jacob Mcclellan's phone number?
- The practice phone number listed in the NPPES registry for Jacob Mcclellan is (586) 582-7033.
- Does Jacob Mcclellan accept Medicare?
- Jacob Mcclellan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Mcclellan's NPI active?
- Yes — Jacob Mcclellan's NPI (1205637469) is active in the NPPES registry as of the last update on 2025-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.