TARA N CLEMENS (PA) – Medical Physician Assistant, NPI 1164455689
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for TARA N CLEMENS (PA)
203, Rollie Avenue, Fort Lupton, Weld County, Colorado, 80621, United States
FORT LUPTON, CO 806211508
Phone: (303) 286-4560
Fax: (303) 286-4589
Type: Mailing
Salud Family Health Center, 5995, Iris Parkway, Frederick, Weld County, Colorado, 80504, United States
BOX 189
FREDERICK, CO 80530
Phone: (303) 833-2050
Fax: (303) 833-9183
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-09-01
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 |
|---|---|---|---|---|
| I20060901000072 | I | Physician Assistant | CO | 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 | 191 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 55 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | 60 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | 19 | $0 |
| 81003 | Automated urinalysis test | 18 | 17 | $0 |
Insurance plans in this area (ZIP 80621)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CA | |
| - | CO | |
| Physician Assistant | CO | |
| Hospitalist, Family Practice | CO | |
| - | CO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| - | CO |
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