DR. JACKSON DALE CLEMENTS DC
NPI 1376249516
Chiropractor in Overland Park, KS
About Dr. Jackson Dale Clements Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKSON DALE CLEMENTS DC (NPI 1376249516) is an individual chiropractor in Overland Park, Kansas, licensed in Kansas (01-06246) and active in the NPI registry since January 2023. He is a graduate of Cleveland Chiropractic College - Kansas City (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Jackson Dale Clements Dc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jackson Clements reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Overland Park, KS 66213
- Reassigned Medicare billing, Kansas enrollment
Merriam, KS 66202
- Reassigned Medicare billing, Kansas enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackson Clements's NPI number?
The NPI number for Jackson Clements is 1376249516. It was assigned to this individual provider in the NPPES registry on January 31, 2023.
Where is Jackson Clements located?
Jackson Clements practices at 12631 Antioch Rd, Overland Park, KS 66213. The listed phone number is (913) 685-0022.
What is Jackson Clements's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jackson Clements enrolled in Medicare?
Yes. Jackson Clements 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 Jackson Clements's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Clements reassigns Medicare benefits to 2 organizations: Clements Chiropractic LLC (Overland Park, KS) and Vita Chiropractic LLC (Merriam, KS). 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 Jackson Clements's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackson Clements accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 1 other insurer list Jackson Clements 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 Jackson Clements was last updated on February 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jackson Dale Clements, DC · NPI 1376249516
Chiropractor provider in Overland Park, Kansas. Individual provider, active in the CMS NPPES registry since January 31, 2023.
## Identity
- **NPI:** 1376249516 (Entity type: Individual)
- **Enumerated:** January 31, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 01-06246 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12631 ANTIOCH RD, Overland Park, KS 66213-1701
- **Phone:** (913) 685-0022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Clements Chiropractic LLC (NPI 1104522804, Overland Park, KS); Vita Chiropractic LLC (NPI 1275178741, Merriam, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Cleveland Chiropractic College - Kansas City, class of 2022
## Record status
- **NPPES last updated:** February 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376249516) · Data from the CMS NPPES public registry.