Mary Ann Clement, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

UP001547C Issued in PA

Practice address

2808 Old Post Rd
Harrisburg, PA 17110-3685

Phone

(717) 920-4400

Fax

(717) 591-7153

NPI assigned

Sep 20, 2011

Last updated

Jan 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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 PA

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

Specialty

Nurse Practitioner

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Che Senior Care Therapy Services, PCGroup PAC ID 8123269149, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Che Senior Care Therapy Services PC

  • Clinical Psychologist
  • King of Prussia, PA
  • NPI 1144666496
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1518240209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 OLD POST RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103685",
            "telephone_number": "717-920-4400",
            "fax_number": "717-591-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Revere Rd",
            "address_purpose": "LOCATION",
            "city": "Merion Station",
            "state": "PA",
            "postal_code": "190661007",
            "country_code": "US",
            "telephone_number": "718-942-6595",
            "fax_number": "855-688-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "928 Jaymor Rd Ste C-120",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189663835",
            "country_code": "US",
            "telephone_number": "718-942-6595",
            "fax_number": "855-688-6746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "MARY ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN299064L",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "UP001547C",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "UP001547C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Clark
• Rachel Claire Clark, L.S.W
• Nina Gogic Clay
• Amy E Cleck, CRNP
• Carol O Clelland, RD
• Anna Clemente, LPC
• George Clements
• Renee Cless
• Amanda Cleveland, LCSW
• Clickaging Care Homecare LLC

• Adult Health Nurse Practitioner in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.