JASMINE ALINE CLAY APRN
NPI 1801643812
Nurse Practitioner - Family in Shiloh, IL

Q: What is Jasmine Clay's NPI number?

The NPI number for Jasmine Clay is 1801643812. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Q: What is Jasmine Clay's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jasmine Clay was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 06, 2024PECOS EnrolledAccepts Medicare Assignment

1170 FORTUNE BLVD, SHILOH, IL 62269(618) 997-5266(833) 431-2272 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jasmine Aline Clay Aprn NPPES

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

JASMINE ALINE CLAY APRN (NPI 1801643812) is an individual family provider in Shiloh, Illinois, licensed in Illinois (209029670) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edwardsville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1801643812

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJASMINE ALINE CLAYCredential: APRN

Location Address1170 FORTUNE BLVDShiloh, IL 62269-7358

Mailing Address1170 Fortune BlvdShiloh, IL 62269-7358 · (618) 997-5266 · Fax (833) 431-2272

Phone(618) 997-5266

Fax(833) 431-2272

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 6, 2024

Last NPPES UpdateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1801643812 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 IL · 209029670

1170 FORTUNE BLVD, Shiloh, IL 62269

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Secondary Practice Location 1

Location 12209 Monticello PlEdwardsville, IL 62025-2657 · Phone (502) 316-5893

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jasmine Aline Clay Aprn 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 ID1951845320

PECOS Enrollment IDI20240627000734

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.

Medicare Billing Reassignment

Medicare enrollment records show Jasmine Clay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heartland Women's Healthcare Ltd

4.1 mi

Clinical Medical Laboratory

6 PARK PL
Swansea, IL 62226

Reassigned Medicare billing, Illinois enrollment
52 clinicians in this Medicare group

NPI 1043852932 (618) 997-5266

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE LYNN FRUEH FNP-BC

Nurse Practitioner (Family)