Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Charles McClellan, NP

Individual provider Family Nurse Practitioner · NPI 1902674773

Nicholas Charles McClellan, NP is a Nurse Practitioner in Edina, Minnesota. Qualified in 2022, 4 years ago. Practices with Fairview Health Services, a 678-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6401 France Ave S
Edina, MN 55435-2104
Phone: (952) 924-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11097 (MN)

Record details

NPI number1902674773
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address15016 Peteler Ln, Minnetonka, MN 55345-5740

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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