Nicole Anne Clem, ARNP - Medicare Nurse Practitioner in Pensacola, FL

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Nicole Anne Clem, ARNP is a medicare enrolled "Nurse Practitioner" in Pensacola, Florida. Her current practice location is 1619 Creighton Rd, Suite 1, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 444-4700.

Nicole Anne Clem is licensed to practice in Florida (license number ARNP9409592) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023405222.

Contact Information

Nicole Anne Clem, ARNP
1619 Creighton Rd, Suite 1,
Pensacola, FL 32504-7152
(850) 444-4700
(850) 444-7497

Map and Direction




Provider's Profile

Full NameNicole Anne Clem
GenderFemale
SpecialityNurse Practitioner
Location1619 Creighton Rd, Pensacola, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023405222
  • Provider Enumeration Date: 04/25/2015
  • Last Update Date: 05/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1456672773
  • Enrollment ID: I20150611000889

Medical Identifiers

Medical identifiers for Nicole Anne Clem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023405222NPI-NPPES
016992700MedicaidFL
13548879OtherFLCAQH
Q3K4TOtherFLBCBSFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP9409592 (Florida)Primary
363L00000XNurse Practitioner 1-133121 (Alabama)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Anne Clem allows following entities to bill medicare on her behalf.
Entity NameOak Mountain Group Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366840761
PECOS PAC ID: 3678886256
Enrollment ID: O20150727000323

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Anne Clem is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Anne Clem, ARNP
1619 Creighton Rd, Ste 1,
Pensacola, FL 32504-7152

Ph: (850) 444-4700		Nicole Anne Clem, ARNP
1619 Creighton Rd, Suite 1,
Pensacola, FL 32504-7152

Ph: (850) 444-4700

Reviews and Comments


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Mrs. Victoria Lc Mccullers, ARNP
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Phone: 850-416-4501    
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Miss Julie Ann Stronski, APRN
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Practice Location: 1619 Creighton Rd Ste 1, Pensacola, FL 32504
Phone: 504-444-4700    Fax: 850-444-7496
Anne Nadeige Jeantinor, FNP-BC
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Phone: 954-663-8641    
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Medicare: Medicare Enrolled
Practice Location: 5153 N 9th Ave Ste 5c, Pensacola, FL 32504
Phone: 850-416-2554    Fax: 850-416-7442
Mrs. Tamberlynn Baker, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 125 Baptist Way Ste 5c, Pensacola, FL 32503
Phone: 448-227-6950    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.