Individual provider Active NPI

Megan Tania Clemons, APRN, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1225753619
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227601 Issued in LA
Practice address
4190 Gerstner Memorial Blvd
Lake Charles, LA 70607-3804
Phone
(337) 240-9730
Fax
(337) 279-1712
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN160581 LA
Family Nurse Practitioner 363LF0000X 227601 LA Primary

Addresses

Primary practice location

4190 Gerstner Memorial Blvd
Lake Charles, LA 70607-3804

Mailing address

4190 Gerstner Memorial Blvd
Lake Charles, LA 70607-3804
Phone (318) 625-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230113000436 LA Practitioner - Nurse Practitioner 7810368628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services at Glenwood LLCGroup PAC ID 0547518920, 9 clinicians

Practice addresses (Care Compare)

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (512) 730-3056

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as group
Quality
76.8
Improvement activities
40
Cost
74.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN160581LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services at Glenwood, LLC Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Applegate Health Services, Inc CurrentSince Feb 17, 2026 Accepting new patients
Applegate Health Services, Inc. CurrentSince Feb 17, 2026 Accepting new patients

Locations

5980 Cherry Ridge Rd
Bastrop, LA 71220
Phone (318) 281-6933

1605 Benton Rd
Ste D
Bossier City, LA 71111
Phone (318) 716-3814

751 Bayou Pines East Dr
Ste P
Lake Charles, LA 70601
Phone (337) 513-4844

4190 Gerstner Memorial Blvd
Lake Charles, LA 70607
Phone (318) 281-6933

2000 Opelousas St
Lake Charles, LA 70601
Phone (318) 439-9983

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

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.

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1225753619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 GERSTNER MEMORIAL BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706073804",
            "telephone_number": "318-625-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 GERSTNER MEMORIAL BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706073804",
            "telephone_number": "337-240-9730",
            "fax_number": "337-279-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "MEGAN",
        "middle_name": "TANIA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN160581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "227601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.