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JOHN CLANCY FNP
NPI 1508573940
Nurse Practitioner - Family in Jamul, CA

Active since November 04, 2022PECOS Enrolled
3877 ALTA LOMA DR, JAMUL, CA 91935(619) 354-9553 Get Directions Write a Review

NPPES record last updated: November 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Clancy Fnp NPPES

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

JOHN CLANCY FNP (NPI 1508573940) is an individual family provider in Jamul, California, licensed in California (X) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508573940
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN CLANCYCredential: FNP
Location Address3877 ALTA LOMA DRJamul, CA 91935-1706
Mailing Address3877 Alta Loma DrJamul, CA 91935-1706 · (619) 354-9553
Phone(619) 354-9553
Sole ProprietorYes
Enumeration DateNovember 4, 2022
Last NPPES UpdateNovember 5, 2022
NPPES CertifiedNovember 5, 2022
✔ NPI 1508573940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · X
3877 ALTA LOMA DR, Jamul, CA 91935
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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 (PECOS)

John Clancy Fnp 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
54 services46 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
15 services15 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91935 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 John Clancy's NPI number?

The NPI number for John Clancy is 1508573940. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is John Clancy located?

John Clancy practices at 3877 Alta Loma Dr, Jamul, CA 91935. The listed phone number is (619) 354-9553.

What is John Clancy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Clancy enrolled in Medicare?

Yes. John Clancy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Clancy was last updated on November 5, 2022. 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.