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

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: August 02, 2026.

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
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

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

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

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.

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 8

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

Nurse Practitioner (Family)
1170 FORTUNE BLVD
SHILOH, IL 62269
Obstetrics & Gynecology (Obstetrics)
1170 FORTUNE BLVD
SHILOH, IL 62269
Advanced Practice Midwife
1170 FORTUNE BLVD
SHILOH, IL 62269
Obstetrics & Gynecology
1170 FORTUNE BLVD
SHILOH, IL 62269
Obstetrics & Gynecology
1170 FORTUNE BLVD
SHILOH, IL 62269
Obstetrics & Gynecology
1170 FORTUNE BLVD
SHILOH, IL 62269
Advanced Practice Midwife
1170 FORTUNE BLVD
SHILOH, IL 62269
Nurse Practitioner (Women's Health)
1170 FORTUNE BLVD
SHILOH, IL 62269

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 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.

Where is Jasmine Clay located?

Jasmine Clay practices at 1170 Fortune Blvd, Shiloh, IL 62269. The listed phone number is (618) 997-5266.

What is Jasmine Clay's specialty?

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

Is Jasmine Clay enrolled in Medicare?

Yes. Jasmine Clay 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 Jasmine Clay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Jasmine Clay 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.

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 23 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.