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ALISHA MARIE CLEMONS APRN
NPI 1205375474
Nurse Practitioner - Family in Lexington, KY

Active since February 21, 2017PECOS Enrolled
100/100
CMS Quality Rating
670 PERIMETER DR, LEXINGTON, KY 40517(859) 300-6006 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2018, Oct 27, 2017, Sep 20, 2017 and 1 more (4 updates tracked since 2017).

About Alisha Marie Clemons Aprn NPPES

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

ALISHA MARIE CLEMONS APRN (NPI 1205375474) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3011051) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205375474
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISHA MARIE CLEMONSCredential: APRN
Location Address670 PERIMETER DRLexington, KY 40517-4120
Mailing Address670 Perimeter DrLexington, KY 40517-4120 · (859) 300-6006
Phone(859) 300-6006
Sole ProprietorNo
Enumeration DateFebruary 21, 2017
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1205375474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3011051
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3011051 (KY)
670 PERIMETER DR, Lexington, KY 40517
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1234 Medical Cir Ste 1Morehead, KY 40351-1194 · Phone (606) 784-6641 · Fax (606) 783-7735
Location 2740 S Limestone Division Of Infectious DiseasesLexington, KY 40536-1194 · Phone (859) 323-5544

Other Identifiers 3

OtherK215870KY · Medicare Mms Loc
Medicaid7100464780KY
Other3011051KY · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisha Marie Clemons Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Alisha Clemons reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
3.4 mi
General Acute Care Hospital
800 ROSE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1518911338 (859) 323-5470
Prism Wellness Solutions LLC
5.4 mi
Family
989 GOVERNORS LN STE 140
Lexington, KY 40513
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1730953324 (859) 494-9984
Chm Mobile Care
44 mi
Internal Medicine
713 MAIN ST STE A
Shelbyville, KY 40065
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 clinicians in this Medicare group
NPI 1568348225 (804) 877-6601

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.

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.
77 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40517 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

KALIN RAE CLINE FNP-C
Nurse Practitioner (Family)
670 PERIMETER DR
LEXINGTON, KY 40517
Fayette County (859) 300-6006

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 Alisha Clemons's NPI number?

The NPI number for Alisha Clemons is 1205375474. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Alisha Clemons located?

Alisha Clemons practices at 670 Perimeter Dr, Lexington, KY 40517. The listed phone number is (859) 300-6006.

What is Alisha Clemons's specialty?

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

Is Alisha Clemons enrolled in Medicare?

Yes. Alisha Clemons is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alisha Clemons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisha Clemons reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Prism Wellness Solutions LLC (Lexington, KY) and Chm Mobile Care (Shelbyville, KY). 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 Alisha Clemons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alisha Clemons was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.