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MELISSA K CLEMENTS M.D.
NPI 1114079597
Specialist in Oklahoma City, OK

Active since January 17, 2007Opted out of Medicare · through Sep 1, 2027CLIA 37D0470162 · Microscopy
6301 WATERFORD BLVD, SUITE 100, OKLAHOMA CITY, OK 73118(405) 843-7401(405) 843-7607 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Melissa K Clements M.d. NPPES

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

MELISSA K CLEMENTS M.D. (NPI 1114079597) is an individual specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (14621) and active in the NPI registry since January 2007. She has opted out of Medicare through September 1, 2027 and remains eligible to order and refer and holds a CLIA Microscopy certificate valid through June 21, 2028.

NPPES Registry Identity

NPI1114079597
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMELISSA K CLEMENTSCredential: M.D.
Location Address6301 WATERFORD BLVD, SUITE 100Oklahoma City, OK 73118-1162
Mailing Address6301 Waterford Blvd, Suite 100Oklahoma City, OK 73118-1162 · (405) 843-7401 · Fax (405) 843-7607
Phone(405) 843-7401
Fax(405) 843-7607
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114079597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 14621
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6301 WATERFORD BLVD, Oklahoma City, OK 73118
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Other Identifiers 1

Medicare UPIND34505OK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Melissa K Clements M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2015 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2015
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D0470162

Melissa K Clements MD · Oklahoma City, OK
Active · expires Jun 21, 2028
CLIA Number37D0470162
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorMelissa K. Clements
Laboratory Phone(405) 843-7401
Laboratory LocationMelissa K Clements MD6301 Waterford Boulevard Suite 100, Oklahoma City, OK 73118
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Melissa Clements's NPI number?

The NPI number for Melissa Clements is 1114079597. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Melissa Clements located?

Melissa Clements practices at 6301 Waterford Blvd Suite 100, Oklahoma City, OK 73118. The listed phone number is (405) 843-7401.

What is Melissa Clements's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Melissa Clements enrolled in Medicare?

No. Melissa Clements has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Melissa Clements hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D0470162) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Melissa Clements was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.