DELANA COLE CLEMONS NP-C
NPI 1093296964
Nurse Practitioner - Family in Decatur, AL

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
67.86/100
CMS Quality Rating
1201 7TH ST SE, DECATUR, AL 35601(256) 973-2606 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2022, Aug 28, 2018 (2 updates tracked since 2018).

About Delana Cole Clemons Np-c NPPES

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

DELANA COLE CLEMONS NP-C (NPI 1093296964) is an individual family provider in Decatur, Alabama, licensed in Alabama (1-131422) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cullman, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093296964
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELANA COLE CLEMONSCredential: NP-C
Location Address1201 7TH ST SEDecatur, AL 35601-3337
Mailing Address309 Mcnutt Dr NwHanceville, AL 35077-5480 · (256) 735-3914
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 28, 2018
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
NPI 1093296964 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 AL · 1-131422
1201 7TH ST SE, Decatur, AL 35601

Secondary Practice Location 1

Location 11958 Al Highway 157Cullman, AL 35058-0609 · Phone (256) 737-2090 · Fax (256) 737-2091

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Delana Cole Clemons 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 ID9931453610
PECOS Enrollment IDI20181115001414
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.

Areas of Expertise CMS Part B claims 3

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.
89 services86 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.
41 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

67.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.35
Promoting Interoperability89
Improvement Activities40
Cost49.68

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.

Nurse Anesthetist, Certified Registered
1201 7TH ST SE
DECATUR, AL 35601
Family Medicine
1201 7TH ST SE
DECATUR, AL 35601
Hospitalist
1201 7TH ST SE
DECATUR, AL 35601
General Acute Care Hospital
1201 7TH ST SE
DECATUR, AL 35601
Internal Medicine
1201 7TH ST SE
DECATUR, AL 35601
Anesthesiology
1201 7TH ST SE
DECATUR, AL 35601
Emergency Medicine
1201 7TH ST SE
DECATUR, AL 35601
Nurse Anesthetist, Certified Registered
1201 7TH ST SE
DECATUR, AL 35601

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 Delana Clemons's NPI number?

The NPI number for Delana Clemons is 1093296964. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Delana Clemons located?

Delana Clemons practices at 1201 7th St SE, Decatur, AL 35601. The listed phone number is (256) 973-2606.

What is Delana Clemons's specialty?

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

Is Delana Clemons enrolled in Medicare?

Yes. Delana Clemons 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.

What insurance does Delana Clemons accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Delana Clemons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Delana Clemons was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.