KRISTIN MARIE CLEMENS PMHNP-BC
NPI 1154961381
Nurse Practitioner - Psychiatric/Mental Health in Gaithersburg, MD

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment
800 S FREDERICK AVE STE 200A, GAITHERSBURG, MD 20877(877) 588-0282(301) 880-0228 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2020, Apr 16, 2020, Apr 11, 2020 and 3 more (6 updates tracked since 2020).

About Kristin Marie Clemens Pmhnp-bc NPPES

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

KRISTIN MARIE CLEMENS PMHNP-BC (NPI 1154961381) is an individual psychiatric/mental health provider in Gaithersburg, Maryland, licensed in Maryland (AC003082) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154961381
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTIN MARIE CLEMENSCredential: PMHNP-BC
Location Address800 S FREDERICK AVE STE 200AGaithersburg, MD 20877-4152
Mailing Address5940 Baron Kent LnCentreville, VA 20120-3438 · (877) 588-0282 · Fax (301) 880-0228
Fax(301) 880-0228
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 15, 2020
Last NPPES UpdateMay 4, 20206 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
NPI 1154961381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · AC003082
800 S FREDERICK AVE STE 200A, Gaithersburg, MD 20877

Other Identifiers 1

Medicaid100148709MD

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

Kristin Marie Clemens Pmhnp-bc 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 ID4385075613
PECOS Enrollment IDI20200520002084
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 7

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.
160 services40 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
103 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services30 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
37 services20 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
23 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
800 S FREDERICK AVE STE 200A
GAITHERSBURG, MD 20877
Nurse Practitioner (Psychiatric/Mental Health)
800 S FREDERICK AVE STE 200A
GAITHERSBURG, MD 20877

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 Kristin Clemens's NPI number?

The NPI number for Kristin Clemens is 1154961381. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Kristin Clemens located?

Kristin Clemens practices at 800 S Frederick Ave Ste 200A, Gaithersburg, MD 20877. The listed phone number is (877) 588-0282.

What is Kristin Clemens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kristin Clemens enrolled in Medicare?

Yes. Kristin 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.

When was this NPI record last updated?

The NPPES record for Kristin Clemens was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.