Individual provider Active NPI

Marie Elise Clements, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Louisville, KY
National Provider Identifier
1578096244
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
59118 Issued in KY
Practice address
411 E Chestnut St
Louisville, KY 40202-1713
Phone
(502) 588-3650
Fax
(502) 588-7852
NPI assigned
Apr 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Epilepsy Physician 2084E0001X 59118 KY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 59118 KY Primary

Addresses

Primary practice location

411 E Chestnut St
Louisville, KY 40202-1713

Mailing address

PO Box 776879
Chicago, IL 60677-3039
Phone (502) 588-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802002402 KY Practitioner - Neurology 8325585722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Childrens Medical Group LLCGroup PAC ID 3779917596, 234 clinicians

Practice addresses (Care Compare)

411 E Chestnut St
Level 6
Louisville, KY 40202-1713
Phone (502) 588-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients

Locations (25 of 34)

2040 Louisville Rd
Bowling Green, KY 42101
Phone 2707467816 ext. 3109

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

125 Kingswood Dr
Campbellsville, KY 42718
Phone (270) 789-1112

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

57 Summit Dr
Corbin, KY 40701
Phone (606) 528-9700

202 Limestone St S
Ste 1
Frankfort, KY 40601

279 Kings Daughters Dr
Ste 200
Frankfort, KY 40601
Phone (502) 223-6813

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

982 Eastern Pkwy
Louisville, KY 40217
Phone (502) 595-4459

310 Whittington Pkwy
Louisville, KY 40222
Phone (502) 429-1249

9880 Angies Way
Ste 170
Louisville, KY 40241
Phone (502) 629-5455

4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

411 E Chestnut St
#6
Louisville, KY 40202
Phone (502) 588-9587

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

220 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 582-7400

3991 Dutchmans Ln
Ste 303
Louisville, KY 40207
Phone (502) 559-1750

210 E Gray St
Ste 1105
Louisville, KY 40202
Phone (502) 583-1609

9880 Angies Way
Ste 330
Louisville, KY 40241
Phone (502) 588-2220

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

Interoperability endpoints

  • Direct secure messaging: mclements103331@direct.nortonhealthcare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1578096244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773039",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-588-3650",
            "fax_number": "502-588-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "MARIE",
        "middle_name": "ELISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "KY",
            "license": "59118",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "KY",
            "license": "59118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.