MRS. MEGAN CLEMENS NP-C
NPI 1093268724
Nurse Practitioner - Family in Macomb, IL

Active since July 29, 2016PECOS EnrolledAccepts Medicare Assignment
525 E GRANT ST, MACOMB, IL 61455(309) 833-4101 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Megan Clemens Np-c NPPES

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

MRS. MEGAN CLEMENS NP-C (NPI 1093268724) is an individual family provider in Macomb, Illinois, licensed in Illinois (209014623) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Mc Donough District Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093268724
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MEGAN CLEMENSCredential: NP-C
Location Address525 E GRANT STMacomb, IL 61455-3313
Mailing Address525 E Grant StMacomb, IL 61455-3313 · (309) 833-4101
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 29, 2016
✔ NPI 1093268724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014623
525 E GRANT ST, Macomb, IL 61455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Megan Clemens Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234425356
PECOS Enrollment IDI20160915000968
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

2

Medicare enrollment records show Megan Clemens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
525 E GRANT ST
Macomb, IL 61455
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1609180082 (Illinois)
  • 55 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Illinois enrollment
  • 48 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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
60 services60 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$20.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$7.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$110.94 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$34.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
525 E GRANT ST
MACOMB, IL 61455
Nurse Practitioner (Family)
525 E GRANT ST
MACOMB, IL 61455
Nurse Practitioner
525 E GRANT ST
MACOMB, IL 61455
Radiology (Diagnostic Radiology)
525 E GRANT ST
MACOMB, IL 61455
Emergency Medicine
525 E GRANT ST
MACOMB, IL 61455
Home Health
525 E GRANT ST
MACOMB, IL 61455
Emergency Medicine
525 E GRANT ST
MACOMB, IL 61455
Nurse Practitioner (Family)
525 E GRANT ST
MACOMB, IL 61455

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 Megan Clemens's NPI number?

The NPI number for Megan Clemens is 1093268724. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Where is Megan Clemens located?

Megan Clemens practices at 525 E Grant St, Macomb, IL 61455. The listed phone number is (309) 833-4101.

What is Megan Clemens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Megan Clemens enrolled in Medicare?

Yes. Megan Clemens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Megan Clemens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Clemens reassigns Medicare benefits to 2 organizations: Mcdonough County Hospital District (Macomb, IL) and Central Prairie Physicians PLLC (Lubbock, TX). 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 Megan Clemens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Megan Clemens affiliated with any hospitals?

According to CMS data, Megan Clemens is affiliated with Mc Donough District Hospital.

When was this NPI record last updated?

The NPPES record for Megan Clemens was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.