Individual provider Active NPI

Charlotte Kathleen Clem, CNP

  • Family Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1073305660
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0038541 Issued in OH
Practice address
6700 University Blvd Ste 3D
Dublin, OH 43016-3508
Phone
(614) 685-4614
Fax
(614) 685-5025
NPI assigned
May 20, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0038541 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0038541 OH Primary

Addresses

Primary practice location

6700 University Blvd Ste 3D
Dublin, OH 43016-3508

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 685-4614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807003478 OH Practitioner - Nurse Practitioner 2365940517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu General Internal Medicine LLCGroup PAC ID 7517103955, 270 clinicians

Practice addresses (Care Compare)

6700 University Blvd
Dublin, OH 43016-3508
Phone (614) 685-4614

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038541OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osu General Internal Medicine LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Osu Family Practice Services Nurse Practitioner Past Accepting new patients

Locations

543 Taylor Ave
Columbus, OH 43203
Phone (614) 685-3333

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

1581 Dodd Dr
Columbus, OH 43210
Phone (614) 293-2101

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

6700 University Blvd
Ste 3D
Dublin, OH 43016
Phone (614) 685-4614

6700 University Blvd
Dublin, OH 43016
Phone (614) 685-4614

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1073305660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-685-4614",
            "fax_number": "614-685-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 UNIVERSITY BLVD STE 3D",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163508",
            "telephone_number": "614-685-4614",
            "fax_number": "614-685-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEM",
        "first_name": "CHARLOTTE",
        "middle_name": "KATHLEEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0038541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0038541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.