JULIA LANE CLEMENS MD
NPI 1376284653
Pediatrics in Madison, WI

Q: What is Julia Clemens's NPI number?

The NPI number for Julia Clemens is 1376284653. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Julia Clemens's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Julia Clemens was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 02, 2022PECOS Enrolled

3434 E WASHINGTON AVE, MADISON, WI 53704(608) 443-5500 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2025, Sep 2, 2025, Jun 2, 2025 (3 updates tracked since 2025).

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About Julia Lane Clemens Md NPPES

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

JULIA LANE CLEMENS MD (NPI 1376284653) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (85864-20) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2022).

NPPES Registry Identity

NPI1376284653

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJULIA LANE CLEMENSCredential: MD

Location Address3434 E WASHINGTON AVEMadison, WI 53704-4155

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 443-5500

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2022

Enumeration DateApril 2, 2022

Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1376284653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 85864-20

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3434 E WASHINGTON AVE, Madison, WI 53704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julia Lane Clemens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486034147

PECOS Enrollment IDI20251120001830

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 Reassignment

Medicare enrollment records show Julia Clemens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Access Community Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

3434 E WASHINGTON AVE
Madison, WI 53704

Reassigned Medicare billing, Wisconsin enrollment
124 clinicians in this Medicare group

NPI 1417055617 (608) 443-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53704 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

PARKER HOERZ MD

Family Medicine