MADISON CLEMENTS (CRNP) – Nurse Practitioner, NPI 1174277420

MADISON CLEMENTS (CRNP) is a healthcare provider. based in Northport, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-172318 (AL). The NPI Number for MADISON CLEMENTS (CRNP) is 1174277420

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MADISON CLEMENTS (CRNP)
NPI
1174277420
Phone
(205) 556-5634
Address
1116 MITT LARY RD
Enumeration Date
7 February 2022
Last Update Date
7 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3344205001
Graduation Year
2021 (5 years ago)
PAC ID
3971985151
Group Practice PAC ID
1557324811
Professional Enrollment ID
I20220804001465
Address ID
AL361072613MO1845XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MADISON CLEMENTS (CRNP)

  • 1116 MITT LARY RD

    NORTHPORT, AL 354754978

    Phone: (205) 556-5634

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Organon LLC ($68).

Total Amount

$171

General + Research + Ownership

Payments

6

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220804001465INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg14018$0
J0696Injection, ceftriaxone sodium, per 250 mg6416$0
96372Injection of drug or substance under skin or into muscle4024$0
99214Established patient office or other outpatient visit, 30-39 minutes3026$0
99213Established patient office or other outpatient visit, 20-29 minutes2622$0
View full utilization report →

Insurance plans in this area (ZIP 35475)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557324811View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL
-AL
P S Y C H I A T R YPR
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerFL
Marriage And Family TherapistAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What number should I use to identify MADISON CLEMENTS (CRNP) for billing?
Administrative and clinical systems typically use NPI 1174277420 for MADISON CLEMENTS (CRNP).
Does the public listing show MADISON CLEMENTS (CRNP) as active?
MADISON CLEMENTS (CRNP)'s NPI record reflects an active status in NPPES.
What services align with MADISON CLEMENTS (CRNP)'s listing?
MADISON CLEMENTS (CRNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MADISON CLEMENTS (CRNP) tied to Northport, Alabama?
If you are local to Northport, Alabama, MADISON CLEMENTS (CRNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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