KRISTIN MARIE CLEMENS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154961381
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
Provider Addresses for KRISTIN MARIE CLEMENS (PMHNP-BC)
5940 BARON KENT LN
CENTREVILLE, VA 201203438
Phone: (877) 588-0282
Fax: (301) 880-0228
Type: Mailing
800 S FREDERICK AVE STE 200A
GAITHERSBURG, MD 208774152
Phone: (877) 588-0282
Fax: (301) 880-0228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 155 Open Payments records for all available years, with a total value of $16,177.
Total Amount is formed as General ($16,177) + Research ($0) + Ownership ($0) = $16,177.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($10,704).
Total Amount
$16,177
General + Research + Ownership
Payments
155
Total payment records
General Amount
$16,177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $10,704 |
| Janssen Scientific Affairs, LLC | $2,764 |
| Otsuka America Pharmaceutical, Inc. | $601 |
| Teva Pharmaceuticals USA, Inc. | $412 |
| ITI, Inc. | $247 |
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: 2020-05-20
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 |
|---|---|---|---|---|
| I20200520002084 | I | Nurse Practitioner | DC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 160 | 46 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 159 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 158 | 41 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 110 | 38 | $0 |
| 90838 | Psychotherapy with evaluation and management visit, 1 hour | 42 | 26 | $0 |
Insurance plans in this area (ZIP 20120)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.