Individual provider Active NPI

Jennifer Harshaw Clements, CFNP

  • Family Nurse Practitioner
  • West Point, MS
National Provider Identifier
1932441987
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R867470 Issued in MS
Practice address
7474 Highway 45 Alt N
West Point, MS 39773-7981
Phone
(662) 494-5863
Fax
(662) 494-5287
NPI assigned
Mar 17, 2013
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R867470 MS Primary

Addresses

Primary practice location

7474 Highway 45 Alt N
West Point, MS 39773-7981

Mailing address

129 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (615) 988-2014

Other practice location 1

118 Dunlap St
Starkville, MS 39759-4131
Phone (662) 418-1258

Other identifiers 1

IdentifierTypeStateIssuer
F0113156OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20130920000332 MS Practitioner - Nurse Practitioner 8224272877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, PCGroup PAC ID 5799752762, 5 clinicians

Practice addresses (Care Compare)

129 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 329-3838

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC CurrentSince Sep 1, 2021 Accepting new patients
Urgent Team Management of Golden Triangle, LLC Past Accepting new patients

Locations

129 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 329-3838

111 Eudora Welty Dr
Starkville, MS 39759
Phone (662) 329-3838

Interoperability endpoints

  • Direct secure messaging: jclements33783@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1932441987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "615-988-2014",
            "fax_number": "615-864-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 HIGHWAY 45 ALT N",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397737981",
            "telephone_number": "662-494-5863",
            "fax_number": "662-494-5287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Dunlap St",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397594131",
            "country_code": "US",
            "telephone_number": "662-418-1258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JENNIFER",
        "middle_name": "HARSHAW",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-17",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R867470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAM",
            "identifier": "F0113156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

Verify at the official NPI Registry.