Jonathan Paul Clemens, DMSC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60299976 Issued in WA

Practice address

3624 Ensign Rd NE Ste F
Olympia, WA 98506-5114

Phone

(360) 634-8949

Fax

(360) 634-8234

NPI assigned

Jun 10, 2012

Last updated

Aug 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, AK2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jonathan.clemens.p1@direct.crossroadmc.nextgenshare.com

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.

• Ergocare Clinic PLLC

  dba Ergocare Clinic

  • Occupational Medicine Clinic/Center
  • Olympia, WA
  • NPI 1427621655

  Physician Assistant

  NPD Authorized official
• Emily Program PC

  dba The Emily Program

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698
  Medicare reassignment
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1396810701
  Medicare reassignment
• Cross Road Health Ministries, Inc.

  dba Cross Road Medical Center

  • Federally Qualified Health Center (FQHC)
  • Glennallen, AK
  • NPI 1609871391
  Medicare reassignment
• Kaiser Foundation Health Plan of Washington

  dba Everett Medical Center

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1386935351
  NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1669619870
  NPD
• Cross Road Health Ministries, Inc.

  dba Interior Alaska Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Delta Junction, AK
  • NPI 1346677754
  NPD
• Cross Road Health Ministries, Inc.

  dba Tok Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Tok, AK
  • NPI 1659956449
  NPD
• Emily Program P C

  dba The Emily Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1528165065
  NPD
• Harkness Medical Group, PLLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1215518113
  NPD (past)

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1972865582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5430",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985095430",
            "telephone_number": "360-634-8949",
            "fax_number": "360-634-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 ENSIGN RD NE STE F",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065114",
            "telephone_number": "360-634-8949",
            "fax_number": "360-634-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-10",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "138797",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-159346",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60299976",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13724042-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Ann Claxton
• Gabrielle Nora Clayton, M.A,, L.M.H.C.
• Clear Choice Skin Solutions of Olympia (Clear Choice Skin Solutions & Laser Clinic)
• Clear Insights Therapy LLC
• David William Clegg, LICENSED COUNSELOR
• Lora S Clements, MS, OTRL
• Jonathan Daniel Clemons, PA-C
• Scott Alexander Cleveland, D.C.
• Clevenger Chiropractic Services LLC (Naturally Northwest Chiropractic)
• Michael Edwin Click, MD

• Physician Assistant in Olympia, WA
• Providers in Olympia, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.