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KRISTEN JOY CLEMENS CM
NPI 1316226798
Advanced Practice Midwife in East Setauket, NY

Active since August 16, 2011PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
6 TECHNOLOGY DRIVE, EAST SETAUKET, NY 11733(631) 444-4686 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Joy Clemens Cm NPPES

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

KRISTEN JOY CLEMENS CM (NPI 1316226798) is an individual advanced practice midwife in East Setauket, New York and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2011).

NPPES Registry Identity

NPI1316226798
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKRISTEN JOY CLEMENSCredential: CM
Location Address6 TECHNOLOGY DRIVEEast Setauket, NY 11733-9254
Mailing Address6 Technology DriveEast Setauket, NY 11733-9254 · (631) 444-4686
Phone(631) 444-4686
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2011
Enumeration DateAugust 16, 2011
Last NPPES UpdateJune 3, 2013
✔ NPI 1316226798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
6 TECHNOLOGY DRIVE, East Setauket, NY 11733
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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

Kristen Joy Clemens Cm 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 ID8123281185
PECOS Enrollment IDI20120531000550
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KIMBERLY M HERRERA MD
Obstetrics & Gynecology
6 TECHNOLOGY DRIVE, SUITE 200
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4686
LAURA R. LESCH N.P.
Nurse Practitioner
6 TECHNOLOGY DRIVE, STE 200
EAST SETAUKER, NY 11733
Suffolk County (631) 444-4686
DR. DIANA JANET GARRETTO MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6 TECHNOLOGY DRIVE, SUITE 200
SETAUKET, NY 11733
Suffolk County (631) 444-4686

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 Kristen Clemens's NPI number?

The NPI number for Kristen Clemens is 1316226798. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Kristen Clemens located?

Kristen Clemens practices at 6 Technology Drive, East Setauket, NY 11733. The listed phone number is (631) 444-4686.

What is Kristen Clemens's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kristen Clemens enrolled in Medicare?

Yes. Kristen 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 Kristen Clemens was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.