TERESA L CLEMONS (ANP) – Adult Health Nurse Practitioner, NPI 1396769212

TERESA L CLEMONS (ANP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. AP111228 (TX). The NPI Number for TERESA L CLEMONS (ANP) is 1396769212

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
TERESA L CLEMONS (ANP)
NPI
1396769212
Phone
(682) 236-3656
Address
9250 AMBERTON PKWY
Enumeration Date
26 July 2006
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8449413087
Graduation Year
2001 (25 years ago)
PAC ID
3870583339
Group Practice PAC ID
5597170878
Professional Enrollment ID
I20040517000111
Address ID
TX750133845AL950XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TERESA L CLEMONS (ANP)

  • 9250 AMBERTON PKWY

    DALLAS, TX 752433224

    Phone: (682) 236-3656

    Type: Mailing

  • Lyndon B Johnson Freeway, Inwood, Dallas, Dallas County, Texas, 75240, United States

    ATTN: POST ACUTE

    DALLAS, TX 752433405

    Phone: (682) 236-3656

    Fax: (214) 570-1692

    Type: Mailing

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: 2004-05-17

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
I20040517000111INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes639217$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes346214$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 75243)

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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: 5597170878View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Hospitalist, Internal Medicine, Emergency MedicineGA

Reviews

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Frequently asked questions

What is the standard ID for TERESA L CLEMONS (ANP) in the U.S.?
In the U.S., TERESA L CLEMONS (ANP) is identified by NPI 1396769212.
Quick check: is TERESA L CLEMONS (ANP) active?
Public NPPES data shows TERESA L CLEMONS (ANP) with an active NPI status right now.
Which specialty label fits TERESA L CLEMONS (ANP)?
NPPES ties TERESA L CLEMONS (ANP) to Adult Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is TERESA L CLEMONS (ANP) tied to Dallas, Texas?
If you are local to Dallas, Texas, TERESA L CLEMONS (ANP) may be relevant to your search.
Can I export TERESA L CLEMONS (ANP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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