DR. JEANNINE M CLEMONS DC
NPI 1417042896
Chiropractor in St Louis, MO

Q: What is Jeannine Clemons's NPI number?

The NPI number for Jeannine Clemons is 1417042896. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Jeannine Clemons's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeannine Clemons was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 03, 2006

1629 N. WARSON RD, ST LOUIS, MO 63132(314) 429-2929(314) 429-4331 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jeannine M Clemons Dc NPPES

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

DR. JEANNINE M CLEMONS DC (NPI 1417042896) is an individual chiropractor in St Louis, Missouri, licensed in Missouri (CE-005796) and active in the NPI registry since October 2006. She is a graduate of Logan College Of Chiropractic (1989).

NPPES Registry Identity

NPI1417042896

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. JEANNINE M CLEMONSCredential: DC

Location Address1629 N. WARSON RDSt Louis, MO 63132

Mailing Address1629 N. Warson RdSt Louis, MO 63132 · (314) 429-2929 · Fax (314) 429-4331

Phone(314) 429-2929

Fax(314) 429-4331

Sole ProprietorYes

Medical School CMSLogan College Of ChiropracticGraduated 1989

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1417042896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MO · CE-005796

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1629 N. WARSON RD, St Louis, MO 63132

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Other Identifiers 2

Other28803MO · Blue Cross/shield

Medicare UPINU06146MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeannine M Clemons Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183886633

PECOS Enrollment IDI20120501000094

Medicare Billing Reassignment

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

On Site Chiropractic, PC

Same address

Chiropractor

1629 N WARSON RD
Saint Louis, MO 63132

Reassigned Medicare billing, Missouri enrollment

NPI 1336410240 (314) 429-2929

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

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 Jeannine Clemons's NPI number?

The NPI number for Jeannine Clemons is 1417042896. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jeannine Clemons located?

Jeannine Clemons practices at 1629 N. Warson Rd, St Louis, MO 63132. The listed phone number is (314) 429-2929.

What is Jeannine Clemons's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeannine Clemons enrolled in Medicare?

Yes. Jeannine Clemons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeannine Clemons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannine Clemons reassigns Medicare benefits to On Site Chiropractic, PC (Saint Louis, MO). The 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 Jeannine Clemons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeannine Clemons accept?

Health plans from Anthem Blue Cross and Blue Shield, Providence Health Plan and UnitedHealthcare list Jeannine 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.

When was this NPI record last updated?

The NPPES record for Jeannine Clemons was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.