MRS. JAN THOMAS CLEMMONS FNP
NPI 1700017209
Nurse Practitioner in Wilmington, NC

Q: What is Jan Clemmons's NPI number?

The NPI number for Jan Clemmons is 1700017209. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Q: What is Jan Clemmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jan Clemmons was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 31, 2009PECOS Enrolled

1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403(910) 662-9300(910) 662-9301 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2022, Mar 5, 2021 (2 updates tracked since 2021).

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About Mrs. Jan Thomas Clemmons Fnp NPPES

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

MRS. JAN THOMAS CLEMMONS FNP (NPI 1700017209) is an individual nurse practitioner in Wilmington, North Carolina, licensed in North Carolina (5004426) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700017209

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JAN THOMAS CLEMMONSCredential: FNP

Location Address1725 NEW HANOVER MEDICAL PARK DRWilmington, NC 28403-5345

Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 662-9300 · Fax (910) 662-9301

Phone(910) 662-9300

Fax(910) 662-9301

Sole ProprietorNo

Enumeration DateJuly 31, 2009

Last NPPES UpdateApril 22, 20222 updates tracked since enumeration

NPPES CertifiedApril 22, 2022

✔ NPI 1700017209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5004426

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5004426 (NC)

1725 NEW HANOVER MEDICAL PARK DR, Wilmington, NC 28403

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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)

Mrs. Jan Thomas Clemmons 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

MRS. NICOLE LAUREN TERRELL PA-C

Physician Assistant