Karen Mcclain, ANP
NPI 1255757357 · Adult Health Nurse Practitioner · Bradford, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Mcclain, ANP is a Adult Health Nurse Practitioner provider in Bradford, PA (NPI 1255757357).
Provider details
- NPI number
- 1255757357
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- SP013853 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
449 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 359 | $103 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 51 | $135 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 16 | $11 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 12 | $73 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 11 | $145 |
Typical Medicare-allowed amounts for these services range $11–$145 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 291 | 93 |
| Rosuvastatin Calcium | 263 | 91 |
| Atorvastatin Calcium | 180 | 58 |
| Apixabanbrand: Eliquis | 154 | 41 |
| Carvedilol | 154 | 44 |
| Lisinopril | 153 | 44 |
| Empagliflozin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$134 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-13
- Last updated
- 2014-05-01
Frequently asked questions
- What is Karen Mcclain's NPI number?
- Karen Mcclain's National Provider Identifier (NPI) is 1255757357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Mcclain's specialty?
- Karen Mcclain is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karen Mcclain located?
- Karen Mcclain's practice location on file with NPPES is 116 Interstate Pkwy Ste 41, Bradford, PA 16701-1036.
- What is Karen Mcclain's phone number?
- The practice phone number listed in the NPPES registry for Karen Mcclain is (814) 368-4143.
- Does Karen Mcclain accept Medicare?
- Karen Mcclain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Mcclain's NPI active?
- Yes — Karen Mcclain's NPI (1255757357) is active in the NPPES registry as of the last update on 2014-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.