ALLISON CLEMMER – Physician Assistant, NPI 1366220832

ALLISON CLEMMER is a healthcare provider. based in Roanoke, Virginia. specializing in PHYSICIAN ASSISTANT. The NPI Number for ALLISON CLEMMER is 1366220832

Main info

Female
3 Years Of Experience
Name
ALLISON CLEMMER
NPI
1366220832
Phone
(970) 396-2902
Address
5041 PLEASANT HILL DR
Enumeration Date
18 September 2023
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5409687368
Graduation Year
2023 (3 years ago)
PAC ID
7719321173
Group Practice PAC ID
6305199324
Professional Enrollment ID
I20240214001240
Address ID
VA240183410RO4633XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for ALLISON CLEMMER

  • 5041 PLEASANT HILL DR

    ROANOKE, VA 240183457

    Phone: (970) 396-2902

    Type: Mailing

  • 101 ELM AVE SE

    ROANOKE, VA 240132222

    Phone: (540) 831-1684

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $916.

Total Amount is formed as General ($916) + Research ($0) + Ownership ($0) = $916.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($302).

Total Amount

$916

General + Research + Ownership

Payments

30

Total payment records

General Amount

$916

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

View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-14

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
I20240214001240IPhysician AssistantVATBD

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 24018)

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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: 6305199324View full group profile
NameSpecialtyState
Physician AssistantVA
O T O L A R Y N G O L O G YVA
Qualified AudiologistVA
Physician AssistantVA

Reviews

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Frequently asked questions

What number should I use to identify ALLISON CLEMMER for billing?
Administrative and clinical systems typically use NPI 1366220832 for ALLISON CLEMMER.
Should I treat ALLISON CLEMMER as an active provider?
Patients and plans typically see ALLISON CLEMMER as active in the national extract.
How should patients interpret ALLISON CLEMMER's specialty?
The extract shows Physician Assistant for ALLISON CLEMMER. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALLISON CLEMMER?
ALLISON CLEMMER is associated with Roanoke, Virginia in the same public data insurers reference.
Why is information missing for ALLISON CLEMMER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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