Rachel Ann Clemens, FNP
Individual provider Active NPI Family Nurse Practitioner · Weston, WV
NPI 1952855686 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1952855686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 74583 (WV)
- Practice address
- 149 Staunton Dr
Weston, WV 26452-5604 - Phone
- (304) 269-2022
- Fax
- (304) 269-2032
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 47
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valeo Medical PLLC
Practice addresses (Care Compare)
630 Fairmont Ave
Fairmont, WV 26554-5104
Phone (304) 534-8931
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161011002986 | WV | Practitioner - Nurse Practitioner | 4789972514 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
Locations
630 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-6662
260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949
78 Queens Alley Rd
Rock Cave, WV 26234
1100 9th St
Ste E
Vienna, WV 26105
107 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022
149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 74583 | WV | Yes |
Addresses
Primary practice location
149 Staunton Dr
Weston, WV 26452-5604
Mailing address
149 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022
Other providers in Weston, WV
- Paramjit Chumber
- City of Weston
- Cathy Lou Claypoole
- Jennifer Claypoole
- Crystal Clem
- Marla Cline
- Lee Ann Coffield
- Cheryl Cogar
- Blaine E Collins
- Community Care of West Virginia, Inc.
All providers in Weston, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.