TINYA C CLEMENTS (APRN) – Family Nurse Practitioner, NPI 1043992514

TINYA C CLEMENTS (APRN) is a healthcare provider. based in Port st lucie, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11027893 (FL). The NPI Number for TINYA C CLEMENTS (APRN) is 1043992514

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
TINYA C CLEMENTS (APRN)
NPI
1043992514
Phone
(772) 380-7897
Address
2190 SE GENOA ST
Enumeration Date
3 August 2023
Last Update Date
3 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7726928082
Graduation Year
2023 (3 years ago)
PAC ID
6901250828
Group Practice PAC ID
6608768122
Professional Enrollment ID
I20230927000426
Address ID
FL349574439JE3405XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TINYA C CLEMENTS (APRN)

  • 2190 SE GENOA ST

    PORT ST LUCIE, FL 349527333

    Phone: (772) 380-7897

    Type: Mailing

  • 1070 SW GATLIN BLVD

    PORT ST LUCIE, FL 34953

    Phone: (772) 408-9434

    Type: Location

  • 1814 NE Jensen Beach Blvd

    Jensen Beach, FL 349577234

    Phone: (772) 208-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$23
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: 2023-09-27

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
I20230927000426INurse PractitionerFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3432$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2928$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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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: 6608768122View full group profile
NameSpecialtyState
Physician AssistantNY
Nurse PractitionerFL
Physician AssistantAZ
Nurse PractitionerFL
Physician AssistantNJ
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Vascular SurgeryFL

Reviews

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Frequently asked questions

What number should I use to identify TINYA C CLEMENTS (APRN) for billing?
Administrative and clinical systems typically use NPI 1043992514 for TINYA C CLEMENTS (APRN).
Is TINYA C CLEMENTS (APRN)'s NPI status active today?
Active status means TINYA C CLEMENTS (APRN)'s NPI record is not deactivated in the public file.
What services align with TINYA C CLEMENTS (APRN)'s listing?
TINYA C CLEMENTS (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TINYA C CLEMENTS (APRN)?
TINYA C CLEMENTS (APRN) is associated with Port St Lucie, Florida in the same public data insurers reference.
Why is information missing for TINYA C CLEMENTS (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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