Active NPI
James M Clements, APRN
- Nurse Practitioner
- Dodge City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-77022-012
- Practice address
- 705 1St Ave Ste a
Dodge City, KS 67801-4437 - Phone
- (620) 471-3140
- Fax
- (620) 471-3141
- NPI assigned
- Sep 9, 2015
- Last updated
- Jan 9, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-77022-012 | KS | Primary |
Addresses
Primary practice location
705 1St Ave Ste a
Dodge City, KS 67801-4437
Mailing address
715 Southwind Dr
Junction City, KS 66441-9021
Phone (785) 209-3779
Other practice location 1
3905 Vanesta Dr
Manhattan, KS 66503-2001
Phone (785) 775-1867
Other practice location 2
842 N Main St
Lansing, KS 66043-1305
Phone (913) 250-5155
Other practice location 3
715 Southwind Dr
Junction City, KS 66441-9021
Phone (785) 209-3779
Other practice location 4
810 W Bramley St
Jetmore, KS 67854-9320
Phone (620) 357-8354
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004457210001 | Medicaid | KS | |
| 201127520A | Medicaid | KS |
Other names 1
- Mike Clements
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 Southwind Dr
Junction City, KS 66441-9021
Phone (785) 209-3779
810 W Bramley St
Jetmore, KS 67854-9320
Phone (620) 357-8354
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-77022-012 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hodgeman County Health Center | Current | Accepting new patients | |
| Victory Clinic LLC | Current | Accepting new patients | |
| Hodgeman County Health Center | Current | Accepting new patients | |
| Flint Hills Heart Vascular and Vein Clinic, LLC | Past | Accepting new patients | |
| Hodgeman County Health Center | Past | Accepting new patients |
Locations
705 1st Ave
Ste A
Dodge City, KS 67801
Phone (620) 225-2522
809 W Bramley St
Jetmore, KS 67854
Phone (316) 357-8354
810 W Bramley St
Jetmore, KS 67854
Phone (620) 357-8354
715 Southwind Dr
Junction City, KS 66441
Phone (785) 209-3779
842 N Main St
Lansing, KS 66043
Phone (913) 250-5155
3905 Vanesta Dr
Manhattan, KS 66503
Phone (785) 320-5858
Interoperability endpoints
- https://api.platform.athenahealth.com/15770/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
- j.mikeclements@vcl-ks.direct.office.nextgen.com
- james.clements.1@15770.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Jetmore, KS
- NPI 1821098252
-
- Multi-Specialty Clinic/Center
- Junction City, KS
- NPI 1104540079
-
- Critical Access Hospital
- Jetmore, KS
- NPI 1093821514
-
- Interventional Cardiology Physician
- Manhattan, KS
- NPI 1760820492
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jetmore, KS
- NPI 1821098252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1427426360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SOUTHWIND DR",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664419021",
"telephone_number": "785-209-3779",
"fax_number": "785-209-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 1ST AVE STE A",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678014437",
"telephone_number": "620-471-3140",
"fax_number": "620-471-3141"
}
],
"practiceLocations": [
{
"address_1": "3905 Vanesta Dr",
"address_purpose": "LOCATION",
"city": "Manhattan",
"state": "KS",
"postal_code": "665032001",
"country_code": "US",
"telephone_number": "785-775-1867",
"fax_number": "785-775-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "842 N Main St",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "KS",
"postal_code": "660431305",
"country_code": "US",
"telephone_number": "913-250-5155",
"fax_number": "913-250-5515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "715 Southwind Dr",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "KS",
"postal_code": "664419021",
"country_code": "US",
"telephone_number": "785-209-3779",
"fax_number": "785-209-3780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 W Bramley St",
"address_purpose": "LOCATION",
"city": "Jetmore",
"state": "KS",
"postal_code": "678549320",
"country_code": "US",
"telephone_number": "620-357-8354",
"fax_number": "620-357-6460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEMENTS",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-77022-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004457210001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201127520A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MIKE",
"last_name": "CLEMENTS",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.
- 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.