CHELSEA ANN CLEMENS (PA) – Physician Assistant, NPI 1104300987
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
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Provider Addresses for CHELSEA ANN CLEMENS (PA)
201, Federal Road, Brookfield, Fairfield County, Connecticut, 06804, United States
BROOKFIELD, CT 068042421
Phone: (203) 740-2593
Type: Location
106 NOROTON AVE STE 101
DARIEN, CT 068205237
Phone: (203) 655-9904
Fax: (203) 656-1416
Type: Location
102 BELLTOWN RD
STAMFORD, CT 069053728
Phone: (203) 461-3812
Type: Mailing
1250 SUMMER ST STE 201
STAMFORD, CT 069055318
Phone: (203) 975-1112
Fax: (203) 406-1095
Type: Location
396, Strawberry Hill Avenue, Belltown, Lawnhill Terrace, Stamford, Fairfield County, Connecticut, 06902, United States
STAMFORD, CT 069022520
Phone: (203) 461-3812
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 212 Open Payments records for all available years, with a total value of $5,521.
Total Amount is formed as General ($5,521) + Research ($0) + Ownership ($0) = $5,521.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Genentech USA, Inc. ($933).
Total Amount
$5,521
General + Research + Ownership
Payments
212
Total payment records
General Amount
$5,521
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
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $933 |
| CSL Behring | $734 |
| AstraZeneca Pharmaceuticals LP | $693 |
| GENZYME CORPORATION | $562 |
| GlaxoSmithKline, LLC. | $462 |
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: 2018-12-12
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 |
|---|---|---|---|---|
| I20181212000489 | I | Physician Assistant | CT | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,220 | 17 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 700 | 23 | $0 |
| 95117 | Professional service for multiple injections of allergen | 301 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 47 | $0 |
Insurance plans in this area (ZIP 06804)
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