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

Q: 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.

Q: What is Alisha Clemons's specialty?

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

Q: 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 10 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.

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment

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: August 16, 2026.

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

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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 is a graduate of Other (2016).

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

Medical School CMSOtherGraduated 2016

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

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Other Identifiers 3

OtherK215870KY · Medicare Mms Loc

Medicaid7100464780KY

Other3011051KY · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Alisha Marie Clemons Aprn 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 ID9032494067

PECOS Enrollment IDI20170314001051

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 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 Interoperability

100

Improvement Activities

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alisha Clemons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Alisha 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 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 10 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.