DR. ANGELIQUE CLEMSON D.O.
NPI 1639134562
Family Medicine in State College, PA
About Dr. Angelique Clemson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANGELIQUE CLEMSON D.O. (NPI 1639134562) is an individual family medicine provider in State College, Pennsylvania, licensed in Pennsylvania (OS010739L) and active in the NPI registry since April 2006. She has opted out of Medicare through August 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Angelique Clemson D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2019 through August 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
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 Angelique Clemson's NPI number?
The NPI number for Angelique Clemson is 1639134562. It was assigned to this individual provider in the NPPES registry on April 20, 2006.
Where is Angelique Clemson located?
Angelique Clemson practices at 2023 Cato Ave Ste 101, State College, PA 16801. The listed phone number is (814) 409-7377.
What is Angelique Clemson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Angelique Clemson enrolled in Medicare?
No. Angelique Clemson has opted out of Medicare through August 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Angelique Clemson was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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. Angelique Clemson, D.O. · NPI 1639134562
Family Medicine physician in State College, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1639134562 (Entity type: Individual)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS010739L (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2023 CATO AVE STE 101, State College, PA 16801-2765
- **Phone:** (814) 409-7377
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** June 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639134562) · Data from the CMS NPPES public registry.