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

Sex

Male

Sole proprietor

No

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.

• Ergocare Clinic PLLC

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

  Physician Assistant

  NPD Authorized official
• Emily Program PC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698

  WA

  Medicare reassignment
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1396810701

  WA

  Medicare reassignment
• Cross Road Health Ministries, Inc.

  • Federally Qualified Health Center (FQHC)
  • Glennallen, AK
  • NPI 1609871391

  AK

  Medicare reassignment
• Kaiser Foundation Health Plan of Washington

  • 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.

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

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

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

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

• Direct secure messaging: jonathan.clemens.p1@direct.crossroadmc.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2026.

{
    "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 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
• Michael Edwin Click, MD

• All providers in Olympia, WA
• 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.