JESSE CLEMENTS – Certified Registered Nurse Anesthetist, NPI 1144894916

JESSE CLEMENTS is a healthcare provider. based in Memphis, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 217112 (TN). The NPI Number for JESSE CLEMENTS is 1144894916

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JESSE CLEMENTS
NPI
1144894916
Phone
Not provided
Address
597 DELTA EXPRESS LN APT 105
Enumeration Date
17 May 2021
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3154135219
Graduation Year
2021 (5 years ago)
PAC ID
5395142814
Group Practice PAC ID
4789057878
Professional Enrollment ID
I20210927002302
Address ID
MS386714739SO7601XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

760 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MS

Provider Addresses for JESSE CLEMENTS

  • 597 DELTA EXPRESS LN APT 105

    MEMPHIS, TN 381031675

    Phone:

    Type: Mailing

  • 391 SOUTHCREST CIR STE 108

    SOUTHAVEN, MS 386714775

    Phone: (901) 484-8313

    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: 2021-09-27

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
I20210927002302ICertified Registered Nurse Anesthetist (Crna)MSTBD

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
36620Insertion of artery tube for blood sampling or infusion through skin1918$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 38103)

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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: 4789057878View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)MS
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)MS

Reviews

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Frequently asked questions

How is JESSE CLEMENTS identified in CMS data?
CMS-hosted NPPES data lists JESSE CLEMENTS with NPI 1144894916.
Is JESSE CLEMENTS listed as active for patients and plans?
The listing shows JESSE CLEMENTS as active in the NPI system.
What is JESSE CLEMENTS's specialty?
The listing groups JESSE CLEMENTS with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for JESSE CLEMENTS?
JESSE CLEMENTS's geographic hint is Memphis, Tennessee in our summary view.
Why does JESSE CLEMENTS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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