Jan Clements, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

193894-4405 Issued in UT

Practice address

1875 S Grant St
San Mateo, CA 94402-2666

Phone

(888) 227-8884

NPI assigned

Dec 16, 2013

Last updated

Oct 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, CA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Resolutioncare PCGroup PAC ID 9133444508, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copper Ridge Health Care Nursing home, West Jordan, UT, CCN 465108

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10606/brand/1/csg/1/fhir/r4
• Direct secure messaging: jan.clements.1@10606.direct.athenahealth.com

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.

• Resolutioncare, PC

  • Specialist
  • San Mateo, CA
  • NPI 1194121681
  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Ma Bo Inc

  dba House Call Doctors

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1740461219
  Medicare reassignment NPD
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Murray, UT
  • NPI 1962821223
  Medicare reassignment NPD
• Vynca Medical Associates PA

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1861144842

  UT

  Medicare reassignment NPD
• Hawaiian Palliative Care LLC

  • Specialist
  • Honolulu, HI
  • NPI 1205705183
  NPD
• Ihc Health Services Inc

  dba Park City InstaCare

  • Emergency Medicine Physician
  • Park City, UT
  • NPI 1861757478
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1588185581
  NPD
• Utah Regional Hospitalists LLC

  dba Utah Regional Hospitalists

  • Hospitalist Physician
  • Idaho Falls, ID
  • NPI 1740715507
  NPD

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

• Beaver Valley Hospital

  dba Copper Ridge Health Care

  • Skilled Nursing Facility
  • West Jordan, UT
  • NPI 1235682519

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1124449285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 S GRANT ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022666",
            "telephone_number": "888-227-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 S GRANT ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022666",
            "telephone_number": "888-227-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 E Shadow Cv",
            "address_purpose": "LOCATION",
            "city": "Cottonwood Heights",
            "state": "UT",
            "postal_code": "841213664",
            "country_code": "US",
            "telephone_number": "435-770-6594",
            "fax_number": "877-992-0810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 Bamberger Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032181",
            "country_code": "US",
            "telephone_number": "801-599-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "193894-4405",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95035474",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "193894-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trecher Lee Clay
• Clear Optometry
• Renee M Cleek, DPT
• David Ross Clemens, CATC
• Marie Clemente
• Daniel Vincent Clevenger, DDS
• Ronald Harrison Clifton Jr.
• Clinical Integrative Services, Inc
• Clinical Psychology Solutions PLLC
• Penelope Clizbe

• Gerontology Nurse Practitioner in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.

Verify at the official NPI Registry.