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MEGAN TANIA CLEMONS APRN, FNP-C
NPI 1225753619
Nurse Practitioner - Family in Lake Charles, LA

Active since October 07, 2022PECOS EnrolledAccepts Medicare Assignment
4190 GERSTNER MEMORIAL BLVD, LAKE CHARLES, LA 70607(337) 240-9730(337) 279-1712 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2023, Mar 21, 2023, Oct 20, 2022 and 1 more (4 updates tracked since 2022).

About Megan Tania Clemons Aprn, Fnp-c NPPES

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

MEGAN TANIA CLEMONS APRN, FNP-C (NPI 1225753619) is an individual family provider in Lake Charles, Louisiana, licensed in Louisiana (227601) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225753619
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN TANIA CLEMONSCredential: APRN, FNP-C
Location Address4190 GERSTNER MEMORIAL BLVDLake Charles, LA 70607-3804
Mailing Address4190 Gerstner Memorial BlvdLake Charles, LA 70607-3804 · (318) 625-6250
Phone(337) 240-9730
Fax(337) 279-1712
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 7, 2022
Last NPPES UpdateFebruary 2, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1225753619 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 LA · 227601
Also ListedRegistered NurseTaxonomy 163W00000X · License RN160581 (LA)
4190 GERSTNER MEMORIAL BLVD, Lake Charles, LA 70607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

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

Megan Tania Clemons Aprn, Fnp-c 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 ID7810368628
PECOS Enrollment IDI20230113000436
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 Megan Clemons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Applegate Health Services, Inc.
2.3 mi
Rehabilitation, Substance Use Disorder
617 W PRIEN LAKE RD, SUITE L
Lake Charles, LA 70601
  • Reassigned Medicare billing, Louisiana enrollment
  • 12 clinicians in this Medicare group
NPI 1346775210 (337) 540-7184
Hni Medical Services At Glenwood, LLC
172 mi
Internal Medicine
1616 WELLERMAN RD
West Monroe, LA 71291
  • Reassigned Medicare billing, Louisiana enrollment
  • 56 clinicians in this Medicare group
NPI 1669962064 (512) 730-3056

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,033 services88 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
859 services87 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
114 services71 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
94 services52 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
27 services18 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70607 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

MR. GERALD JULES DECLOUET JR. LOTR
Occupational Therapist
4190 GERSTNER MEMORIAL BLVD
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 240-9730
COMMCARE CORPORATION
Skilled Nursing Facility
4190 GERSTNER MEMORIAL BLVD
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 240-9730

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 Megan Clemons's NPI number?

The NPI number for Megan Clemons is 1225753619. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Megan Clemons located?

Megan Clemons practices at 4190 Gerstner Memorial Blvd, Lake Charles, LA 70607. The listed phone number is (337) 240-9730.

What is Megan Clemons's specialty?

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

Is Megan Clemons enrolled in Medicare?

Yes. Megan 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.

Which organizations bill Medicare for Megan Clemons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Clemons reassigns Medicare benefits to 2 organizations: Applegate Health Services, Inc. (Lake Charles, LA) and Hni Medical Services At Glenwood, LLC (West Monroe, LA). 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 Megan Clemons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Clemons accept?

Health plans from HMO Louisiana list Megan 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.

Is Megan Clemons affiliated with any hospitals?

According to CMS data, Megan Clemons is affiliated with Lake Charles Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Megan Clemons was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.