CALLIE CLEMENT (NP) – Family Nurse Practitioner, NPI 1790486512
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for CALLIE CLEMENT (NP)
9524 US Highway 431
Albertville, AL 359500106
Phone: (256) 492-4040
Type: Location
301 Medical Center Dr SW
Fort Payne, AL 359683420
Phone: (256) 492-4040
Type: Location
155 JESSIE RD
BOAZ, AL 359575884
Phone: (256) 744-5515
Type: Mailing
713 GOODYEAR AVE
GADSDEN, AL 359031156
Phone: (256) 492-4040
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $624.
Total Amount is formed as General ($624) + Research ($0) + Ownership ($0) = $624.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($254).
Total Amount
$624
General + Research + Ownership
Payments
30
Total payment records
General Amount
$624
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-05-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230509001393 | I | Nurse Practitioner | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 51798 | Ultrasound measurement of bladder capacity after voiding | 39 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 11 | 11 | $0 |
Insurance plans in this area (ZIP 35950)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | AL | |
| U R O L O G Y | AL | |
| U R O L O G Y | TN | |
| Nurse Practitioner | AL | |
| U R O L O G Y | AL | |
| U R O L O G Y | AL | |
| Nurse Practitioner | AL | |
| U R O L O G Y | AL | |
| U R O L O G Y | AL |
Reviews
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