MR. JAC A CLEMENT PA-C
NPI 1649289778
Physician Assistant in Oconto, WI

Q: What is Jac Clement's NPI number?

The NPI number for Jac Clement is 1649289778. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Jac Clement's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jac Clement was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 07, 2006PECOS Enrolled

820 ARBUTUS AVE, OCONTO, WI 54153(920) 835-1100(920) 835-1099 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jac A Clement Pa-c NPPES

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

MR. JAC A CLEMENT PA-C (NPI 1649289778) is an individual physician assistant in Oconto, Wisconsin, licensed in Wisconsin (603-023) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649289778

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JAC A CLEMENTCredential: PA-C

Location Address820 ARBUTUS AVEOconto, WI 54153-2004

Mailing AddressPo Box 1866Green Bay, WI 54305-1866 · (920) 445-7210 · Fax (920) 445-7289

Phone(920) 835-1100

Fax(920) 835-1099

Sole ProprietorNo

Enumeration DateAugust 7, 2006

Last NPPES UpdateNovember 18, 2014

✔ NPI 1649289778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 603-023✔ Licensed in IL · 085-001577

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

820 ARBUTUS AVE, Oconto, WI 54153

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Other Identifiers 2

Medicare UPINS29839

Medicaid42940500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jac A Clement Pa-c 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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

83 services81 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

45 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54153 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

LINDSEY E BAADE APNP

Nurse Practitioner (Family)