JESSE CLEMENTS
NPI 1144894916
Nurse Anesthetist, Certified Registered in Southaven, MS

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
391 SOUTHCREST CIR STE 108, SOUTHAVEN, MS 38671(901) 484-8313 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2026, May 17, 2021 (2 updates tracked since 2021).

About Jesse Clements NPPES

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

JESSE CLEMENTS (NPI 1144894916) is an individual nurse anesthetist, certified registered in Southaven, Mississippi, licensed in Mississippi (901719) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144894916
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJESSE CLEMENTS
Location Address391 SOUTHCREST CIR STE 108Southaven, MS 38671-4775
Mailing Address597 Delta Express Ln Apt 105Memphis, TN 38103-1675
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 17, 2021
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1144894916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MS · 901719✔ Licensed in TN · 217112
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
391 SOUTHCREST CIR STE 108, Southaven, MS 38671

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

Jesse Clements 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 ID5395142814
PECOS Enrollment IDI20210927002302
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 Jesse Clements reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
2704 W OXFORD LOOP, SUITE 117
Oxford, MS 38655
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • Also billed through NPI 1184575011 (Tennessee)
  • 122 clinicians in this Medicare group
Anesthesiology
1305 WALT WHITMAN RD STE 300
Melville, NY 11747
  • Reassigned Medicare billing, Mississippi enrollment
  • 54 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.

Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Nurse Anesthetist, Certified Registered
391 SOUTHCREST CIR STE 108
SOUTHAVEN, MS 38671
Anesthesiology
391 SOUTHCREST CIR STE 108
SOUTHAVEN, MS 38671
Pharmacy (Community/Retail Pharmacy)
391 SOUTHCREST CIR STE 108
SOUTHAVEN, MS 38671
Nurse Anesthetist, Certified Registered
391 SOUTHCREST CIR STE 108
SOUTHAVEN, MS 38671

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 Jesse Clements's NPI number?

The NPI number for Jesse Clements is 1144894916. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Jesse Clements located?

Jesse Clements practices at 391 Southcrest Cir Ste 108, Southaven, MS 38671. The listed phone number is (901) 484-8313.

What is Jesse Clements's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jesse Clements enrolled in Medicare?

Yes. Jesse Clements 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 Jesse Clements's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Clements reassigns Medicare benefits to 2 organizations: Willow Anesthesia Services LLC (Oxford, MS) and American Anesthesiology Of Mississippi LLC (Melville, NY). 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 Jesse Clements's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jesse Clements affiliated with any hospitals?

According to CMS data, Jesse Clements is affiliated with Baptist Memorial Hospital Desoto.

When was this NPI record last updated?

The NPPES record for Jesse Clements was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.