NICOLE ANNE CLEM ARNP
NPI 1023405222
Nurse Practitioner in San Francisco, CA

Active since April 25, 2015PECOS Enrolled
75/100
CMS Quality Rating
1825 4TH ST, SAN FRANCISCO, CA 94143(415) 353-7175 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2026, Mar 3, 2026, May 9, 2017 and 2 more (5 updates tracked since 2016).

About Nicole Anne Clem Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ANNE CLEM ARNP (NPI 1023405222) is an individual nurse practitioner in San Francisco, California, licensed in California (NP95020665) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1023405222
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE ANNE CLEMCredential: ARNP
Location Address1825 4TH STSan Francisco, CA 94143-2350
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Sole ProprietorNo
Enumeration DateApril 25, 2015
Last NPPES UpdateJuly 15, 20265 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1023405222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in CA · NP95020665✔ Licensed in IL · 209020656
Definition
(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.
1825 4TH ST, San Francisco, CA 94143

Secondary Practice Location 1

Location 15841 S MARYLAND AVEChicago, IL 60637-1443 · Phone (888) 824-0200

Other Identifiers 3

Medicaid016992700FL
Other13548879FL · Caqh
OtherQ3K4TFL · Bcbsfl

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Anne Clem Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Nicole Clem reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrinology, Diabetes & Metabolism
1600 DIVISADERO ST
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
Physical Medicine & Rehabilitation
3070 HEALTHY WAY
Vestavia Hills, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 215 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1825 4TH ST
SAN FRANCISCO, CA 94143
Surgery
1825 4TH ST, 3RD FLOOR BOX 1710
SAN FRANCISCO, CA 94143
Nurse Practitioner (Acute Care)
1825 4TH ST
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
1825 4TH ST
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
1825 4TH ST
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
1825 4TH ST
SAN FRANCISCO, CA 94143
Pediatrics
1825 4TH ST
SAN FRANCISCO, CA 94143
Speech-Language Pathologist
1825 4TH ST, 5TH FLOOR
SAN FRANCISCO, CA 94143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Clem's NPI number?

The NPI number for Nicole Clem is 1023405222. It was assigned to this individual provider in the NPPES registry on April 25, 2015.

Where is Nicole Clem located?

Nicole Clem practices at 1825 4th St, San Francisco, CA 94143. The listed phone number is (415) 353-7175.

What is Nicole Clem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Clem enrolled in Medicare?

Yes. Nicole Clem is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Clem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Clem reassigns Medicare benefits to 8 organizations: Regents Of The University Of California (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Clem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Clem was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.