Active NPI
Margarita Clemons, NP
- Adult Health Nurse Practitioner
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- TEMP232616
- Practice address
- 4990 E Mediterranean Dr Ste a
Sierra Vista, AZ 85635-2495 - Phone
- (520) 439-5186
- Fax
- (520) 439-4466
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | TEMP232616 | AZ | Primary |
Addresses
Primary practice location
4990 E Mediterranean Dr Ste a
Sierra Vista, AZ 85635-2495
Mailing address
4990 E Mediterranean Dr Ste a
Sierra Vista, AZ 85635-2495
Phone (520) 439-5186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4990 E Mediterranean Dr
Suite a
Sierra Vista, AZ 85635-2495
Phone (520) 439-5186
Hospital & facility affiliations
- Canyon Vista Medical Center
- Copper Queen Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carnett Clinic, LLC | Current | Accepting new patients |
Locations
4990 E Mediterranean Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 439-5186
4990 E Mediterranean Dr
Sierra Vista, AZ 85635
Phone (520) 417-1163
Organizations & group practices 1
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.
-
- Adult Medicine Physician
- Sierra Vista, AZ
- NPI 1790961167
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- General Acute Care Hospital
- Sierra Vista, AZ
- NPI 1194766543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1588215743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4990 E MEDITERRANEAN DR STE A",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352495",
"telephone_number": "520-439-5186",
"fax_number": "520-439-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4990 E MEDITERRANEAN DR STE A",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352495",
"telephone_number": "520-439-5186",
"fax_number": "520-439-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "MARGARITA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "TEMP232616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
- Amanda Marie Cianciolo, RN
- City of Sierra Vista
- Kathleen Moore Clancy, PT, DPT
- Clarity Counseling and Consultation
- John Franklin Clay II, DO
- Kevin Clifford, DO
- Cochise Area Network for Therapeutic Equestrian Resources
- Cochise County Dialysis and Kidney Care PLLC
- Cochise County Neurodiagnostics
- Cochise Digestive Health Center PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.