MS. TINA CLEMENTS (MSN, APRN, FNP-BC) – Nurse Practitioner, NPI 1124018080
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MS. TINA CLEMENTS (MSN, APRN, FNP-BC)
3602, Sage Ridge Drive, Hunter's Mill, San Antonio, Bexar County, Texas, 78247, United States
SAN ANTONIO, TX 782473545
Phone: (210) 837-4029
Type: Mailing
4410 MEDICAL DR STE 320
SAN ANTONIO, TX 782293749
Phone: (210) 874-3270
Type: Location
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 782344501
Phone: (210) 221-8135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 495 Open Payments records for all available years, with a total value of $16,108.
Total Amount is formed as General ($13,021) + Research ($3,087) + Ownership ($0) = $16,108.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: EMD Serono, Inc. ($3,489).
Total Amount
$16,108
General + Research + Ownership
Payments
495
Total payment records
General Amount
$13,021
General payments
Research Amount
$3,087
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EMD Serono, Inc. | $3,489 |
| SANOFI US SERVICES INC. | $3,087 |
| TG Therapeutics, Inc. | $1,006 |
| Alexion Pharmaceuticals, Inc. | $903 |
| ABBVIE INC. | $623 |
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: 2018-02-07
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 |
|---|---|---|---|---|
| I20180207000958 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78247)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | TX | |
| N E U R O L O G Y | TX | |
| Medical Oncology, Hematology, Internal Medicine | TX | |
| Internal Medicine | TX | |
| Urology, General Surgery, Urology | TX | |
| General Surgery | TX |
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