Active NPI
Jennifer Harshaw Clements, CFNP
- Family Nurse Practitioner
- West Point, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R867470
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0113156 | Other | AMERICAN 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates, PC | Current | 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
- 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.
-
- Nephrology Physician
- Columbus, MS
- NPI 1811944432
-
- Primary Care Clinic/Center
- Nashville, TN
- NPI 1255767760
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Starkville, MS
- NPI 1346112521
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
-
- Critical Access Hospital
- Ackerman, MS
- NPI 1568879864
-
- Critical Access Hospital
- Macon, MS
- NPI 1902844194
-
dba Winston Medical Center
- General Acute Care Hospital
- Louisville, MS
- NPI 1073597126
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
- Clay County Medical Corporation (Clay County Med Ctr - Ambulance)
- Tayla Clay, APRN
- Barbrette A. Clayborn, M.D.
- Patrick Clayborn
- CLC of West Point, LLC (West Point Community Living Center)
- Coggins Family Medical Clinic Inc
- Kay T Coggins, FNP-BC
- Peggie Ann Coleman, M.S. CCC-SLP
- Community Counseling Services
- John Warren Cox, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.