BRANDI CLEMENTS – Psychiatric/Mental Health Nurse Practitioner, NPI 1275376030

BRANDI CLEMENTS is a healthcare provider. based in Lawton, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 1195977 (TX). The NPI Number for BRANDI CLEMENTS is 1275376030

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
BRANDI CLEMENTS
NPI
1275376030
Phone
Not provided
Address
1515 NE LAWRIE TATUM RD
Enumeration Date
18 June 2024
Last Update Date
28 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9403975431
Graduation Year
2024 (2 years ago)
PAC ID
2264947423
Group Practice PAC ID
8426482159
Professional Enrollment ID
I20250716000843
Address ID
TX763014129WI1921XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for BRANDI CLEMENTS

  • 1515 NE LAWRIE TATUM RD

    LAWTON, OK 735073002

    Phone:

    Mailing address matches the actual address.

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: 2025-07-16

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
I20250716000843INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73507)

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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: 8426482159View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
Family PracticeTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical PsychologistTX
Internal MedicineTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Family PracticeTX

Reviews

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Frequently asked questions

What identifier follows BRANDI CLEMENTS across health systems?
The NPI 1275376030 uniquely identifies BRANDI CLEMENTS in U.S. healthcare data.
Should I treat BRANDI CLEMENTS as an active provider?
Patients and plans typically see BRANDI CLEMENTS as active in the national extract.
How should patients interpret BRANDI CLEMENTS's specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for BRANDI CLEMENTS. Clinical services aligned with this taxonomy classification.
Which community is linked to BRANDI CLEMENTS?
BRANDI CLEMENTS shows a connection to Lawton, Oklahoma in registry-derived data.
Why is information missing for BRANDI CLEMENTS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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