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LISA ERIN CLEMENTE PA-C
NPI 1255694212
Physician Assistant - Medical in Bloomington, IN

Active since June 24, 2012PECOS Enrolled
601 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-9515(812) 353-9275 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Erin Clemente Pa-c NPPES

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

LISA ERIN CLEMENTE PA-C (NPI 1255694212) is an individual medical provider in Bloomington, Indiana and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255694212
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA ERIN CLEMENTECredential: PA-C
Location Address601 W 2ND STBloomington, IN 47403-2317
Mailing AddressPo Box 1149Bloomington, IN 47402-1149 · (812) 353-3087
Phone(812) 353-9515
Fax(812) 353-9275
Sole ProprietorNo
Enumeration DateJune 24, 2012
Last NPPES UpdateAugust 17, 2016
✔ NPI 1255694212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
601 W 2ND ST, Bloomington, IN 47403
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Other Identifiers 1

Medicare PIN090540135IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Erin Clemente Pa-c 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.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL TIM DUNFEE M.D.
Anesthesiology
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 334-8958
LAURIE M EYNON
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9568
ROBERT G PURSELL NP
Nurse Practitioner (Family)
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9515
DAVID A DUNN D.O.
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Monroe County (812) 353-2317
DR. HOWIS YVETTE AROS MD
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9515
ERIN D WILSON
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9568
ALVIN PERRY GRIFFITH M.D.
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-5603
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9940

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 Lisa Clemente's NPI number?

The NPI number for Lisa Clemente is 1255694212. It was assigned to this individual provider in the NPPES registry on June 24, 2012.

Where is Lisa Clemente located?

Lisa Clemente practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-9515.

What is Lisa Clemente's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lisa Clemente enrolled in Medicare?

Yes. Lisa Clemente is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Clemente was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.