MS. TAMARA J CLEMETSON PA-C
NPI 1891888582
Physician Assistant in Park River, ND

Q: What is Tamara Clemetson's NPI number?

The NPI number for Tamara Clemetson is 1891888582. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Tamara Clemetson'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 Tamara Clemetson was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 02, 2006PECOS EnrolledAccepts Medicare Assignment

115 VIVIAN ST., PARK RIVER, ND 58270(701) 284-7555(701) 284-4605 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Tamara J Clemetson Pa-c NPPES

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

MS. TAMARA J CLEMETSON PA-C (NPI 1891888582) is an individual physician assistant in Park River, North Dakota, licensed in North Dakota (PAC0220) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and is a graduate of University Of North Dakota School Of Medicine (1999).

NPPES Registry Identity

NPI1891888582

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. TAMARA J CLEMETSONCredential: PA-C

Location Address115 VIVIAN ST.Park River, ND 58270-4540

Mailing AddressP O Box I, 115 Vivian St.Park River, ND 58270-0708 · (701) 284-7555 · Fax (701) 284-4605

Phone(701) 284-7555

Fax(701) 284-4605

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1999

Enumeration DateOctober 2, 2006

Last NPPES UpdateMarch 8, 2021

NPPES CertifiedMarch 8, 2021

✔ NPI 1891888582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ND · PAC0220

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.

115 VIVIAN ST., Park River, ND 58270

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Ms. Tamara J Clemetson Pa-c 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 ID2062544489

PECOS Enrollment IDI20100721000436

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Altru Hospital

Acute Care Hospitals · Grand Forks, ND

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number350019

Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County

Emergency services Birthing friendly

Unity Medical Center

Critical Access Hospitals · Grafton, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351320

Location164 W 13th StreetGrafton, ND 58237 · Walsh County

Emergency services

First Care Health Center

Critical Access Hospitals · Park River, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351326

Location115 Vivian StPark River, ND 58270 · Walsh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58270 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers25 claims50 services$4.24 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers15 claims15 services$19.86 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers13 claims14 services$47.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers26 claims26 services$111.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

P R HEALTH CORPORATION

Clinic/Center (Rural Health)