MRS. JOANNA BUNDRUM CLEMENTS (C.R.N.P.) – Family Nurse Practitioner, NPI 1851305874
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 MRS. JOANNA BUNDRUM CLEMENTS (C.R.N.P.)
4108 WATERMELON RD
NORTHPORT, AL 354735130
Phone: (205) 366-9898
Fax: (205) 366-9896
Type: Mailing
100, Towncenter Boulevard, Rollingwood, Tuscaloosa, Tuscaloosa County, Alabama, 35406, United States
SUITE 111
TUSCALOOSA, AL 354061833
Phone: (205) 343-0004
Fax: (205) 343-0092
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $980.
Total Amount is formed as General ($980) + Research ($0) + Ownership ($0) = $980.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($140).
Total Amount
$980
General + Research + Ownership
Payments
45
Total payment records
General Amount
$980
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $140 |
| ABBVIE INC. | $122 |
| Astellas Pharma US Inc | $97 |
| Novo Nordisk Inc | $92 |
| GlaxoSmithKline, LLC. | $91 |
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: 2012-08-15
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 |
|---|---|---|---|---|
| I20120815000605 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 73 | $0 |
| 82947 | Blood glucose (sugar) level | 64 | 50 | $0 |
| 83037 | Hemoglobin a1c level, by device for home use | 49 | 43 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 48 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 35 | $0 |
Insurance plans in this area (ZIP 35473)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AL | 85610 | Blood test, clotting time | 40 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL |
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