Active NPI
Darin J Clement, PA-C
- Specialist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PA00624
- Practice address
- 2500 NE Neff Rd
Bend, OR 97701-6015 - Phone
- (541) 388-1636
- Fax
- (541) 388-1719
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PA00624 | OR | Primary |
Addresses
Primary practice location
2500 NE Neff Rd
Bend, OR 97701-6015
Mailing address
PO Box 1420
Redmond, OR 97756-0400
Phone (541) 388-1636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500608590 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dclement17758@secure.stcharleshealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
2500 NE Neff Rd
Bend, OR 97701-6015
Hospital & facility affiliations
- St Charles Medical Center - Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Cardiothoracic Surgery Associates PC | Past | Accepting new patients | |
| Neuromusculoskeletal Center of the Cascades PC | Specialist | Past | Accepting new patients |
| Cardiothoracic Surgeon, PC | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2600 NE Neff Rd
Ste 1
Bend, OR 97701
2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
271 N Egan Ave
Burns, OR 97720
Phone (541) 573-2301
384 SE Combs Flat Rd
Ste 1200
Prineville, OR 97754
Phone (541) 447-6263
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bend, OR
- NPI 1699706408
-
- Specialist
- Bend, OR
- NPI 1760250278
-
- Vascular Surgery Physician
- Richland, WA
- NPI 1881756054
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1053477331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1420",
"city": "REDMOND",
"state": "OR",
"postal_code": "977560400",
"telephone_number": "541-388-1636",
"fax_number": "541-388-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NE NEFF RD",
"city": "BEND",
"state": "OR",
"postal_code": "977016015",
"telephone_number": "541-388-1636",
"fax_number": "541-388-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "DARIN",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "PA00624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500608590",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dclement17758@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2500 NE Neff Rd",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977016015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.