Active NPI
Nicole Anne Clem, ARNP
- Nurse Practitioner
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95020665
- Practice address
- 1825 4TH St
San Francisco, CA 94143-2350 - Phone
- (415) 353-7175
- NPI assigned
- Apr 25, 2015
- Last updated
- Jul 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95020665 | CA | Primary |
| Nurse Practitioner | 363L00000X | 209020656 | IL |
Addresses
Primary practice location
1825 4TH St
San Francisco, CA 94143-2350
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Other practice location 1
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016992700 | Medicaid | FL | |
| 13548879 | Other | FL | CAQH |
| Q3K4T | Other | FL | BCBSFL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Nurse Practitioner | Current | Accepting new patients |
| UCSF Dept of Surgery | Current | Accepting new patients | |
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients |
Locations
3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000
2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- nclem191124@uchospital.direct-ci.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCSF Dept of Medicine General Medicine
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Nurse Practitioner
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Hospitalist Physician
- Birmingham, AL
- NPI 1366840761
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Surgical Group
- Surgery Physician
- San Francisco, CA
- NPI 1346329380
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Physical Medicine & Rehabilitation Physician
- Vestavia Hills, AL
- NPI 1609321165
-
dba UCMC Pharmacy Services
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1023405222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HARVESTER DR STE 300",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 4TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432350",
"telephone_number": "415-353-7175"
}
],
"practiceLocations": [
{
"address_1": "5841 S MARYLAND AVE",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEM",
"first_name": "NICOLE",
"middle_name": "ANNE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-25",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95020665",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209020656",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016992700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13548879",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "Q3K4T",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.