CLEMMIE JO DEYOUNG PA-C
NPI 1609596758
Physician Assistant - Surgical in Temple, TX

Active since August 30, 2022PECOS EnrolledAccepts Medicare Assignment
2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, May 23, 2023, Aug 30, 2022 (3 updates tracked since 2022).

About Clemmie Jo Deyoung Pa-c NPPES

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

CLEMMIE JO DEYOUNG PA-C (NPI 1609596758) is an individual surgical provider in Temple, Texas and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains a secondary practice location in Harker Heights.

NPPES Registry Identity

NPI1609596758
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCLEMMIE JO DEYOUNGCredential: PA-C
Location Address2401 S 31ST STTemple, TX 76508-1959
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2022
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
NPI 1609596758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2401 S 31ST ST, Temple, TX 76508

Other Names 1

Former Name (1)Clemmie Jo Taets Pa-c

Secondary Practice Location 1

Location 1204 Dale Earnhardt Dr Unit BHarker Heights, TX 76548-1959 · Phone (217) 329-2316

Accepted Insurance

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

Clemmie Jo Deyoung Pa-c 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 ID3577928787
PECOS Enrollment IDI20230421002606
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

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.

Family Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Physician Assistant
2401 S 31ST ST
TEMPLE, TX 76508
Physical Therapist
2401 S 31ST ST
TEMPLE, TX 76508
Physical Medicine & Rehabilitation
2401 S 31ST ST
TEMPLE, TX 76508
Radiology (Diagnostic Radiology)
2401 S 31ST ST
TEMPLE, TX 76508
Nurse Practitioner
2401 S 31ST ST
TEMPLE, TX 76508
Nurse Practitioner (Acute Care)
2401 S 31ST ST
TEMPLE, TX 76508
Nurse Practitioner (Acute Care)
2401 S 31ST ST
TEMPLE, TX 76508

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 Clemmie Deyoung's NPI number?

The NPI number for Clemmie Deyoung is 1609596758. It was assigned to this individual provider in the NPPES registry on August 30, 2022. The provider is also known as Clemmie Jo Taets Pa-C.

Where is Clemmie Deyoung located?

Clemmie Deyoung practices at 2401 S 31st St, Temple, TX 76508. The listed phone number is (254) 724-2111.

What is Clemmie Deyoung's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Clemmie Deyoung enrolled in Medicare?

Yes. Clemmie Deyoung 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.

What insurance does Clemmie Deyoung accept?

Health plans from Blue Cross and Blue Shield of Texas list Clemmie Deyoung 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.

Is Clemmie Deyoung affiliated with any hospitals?

According to CMS data, Clemmie Deyoung is affiliated with Baylor Scott & White Medical Center - Temple.

When was this NPI record last updated?

The NPPES record for Clemmie Deyoung was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.