AMANDA CATHLEEN CLEMMONS (PA-C) – Physician Assistant, NPI 1437564408

AMANDA CATHLEEN CLEMMONS (PA-C) is a healthcare provider. based in Yakima, Washington. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 301776 (LA). The NPI Number for AMANDA CATHLEEN CLEMMONS (PA-C) is 1437564408

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA CATHLEEN CLEMMONS (PA-C)
NPI
1437564408
Phone
(877) 522-1275
Address
602 N 39TH AVE STE 200
Enumeration Date
27 June 2014
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5042932273
Graduation Year
2014 (12 years ago)
PAC ID
1052539160
Group Practice PAC ID
2163514100
Professional Enrollment ID
I20170807000500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for AMANDA CATHLEEN CLEMMONS (PA-C)

  • 602 N 39TH AVE STE 200

    YAKIMA, WA 989026398

    Phone: (877) 522-1275

    Fax: (833) 888-7145

    Type: Location

  • 2601 TULANE AVE

    SUITE 500

    NEW ORLEANS, LA 701194100

    Phone: (504) 821-2601

    Fax: (504) 267-3014

    Type: Mailing

  • 3308 TULANE AVE

    NEW ORLEANS, LA 701197100

    Phone: (504) 207-2273

    Fax: (504) 293-6912

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Braeburn Inc. ($98).

Total Amount

$155

General + Research + Ownership

Payments

7

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Braeburn Inc.$98
Indivior Inc.$57
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: 2023-06-22

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
I20230622000784IPhysician AssistantWATBD

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
80307Testing for presence of drug, by chemistry analyzers2813$0
99214Established patient office or other outpatient visit, 30-39 minutes2414$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms2113$0
View full utilization report →

Insurance plans in this area (ZIP 98902)

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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: 2163514100View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMANDA CATHLEEN CLEMMONS (PA-C)?
AMANDA CATHLEEN CLEMMONS (PA-C) — NPI 1437564408 — is the standard way to identify this listing.
Does the file indicate AMANDA CATHLEEN CLEMMONS (PA-C) is practicing under active NPI?
Directory data currently reports AMANDA CATHLEEN CLEMMONS (PA-C) as active.
What healthcare role does AMANDA CATHLEEN CLEMMONS (PA-C) hold?
Scheduling teams often label AMANDA CATHLEEN CLEMMONS (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect AMANDA CATHLEEN CLEMMONS (PA-C) on a map?
Expect Yakima, Washington as a primary anchor for AMANDA CATHLEEN CLEMMONS (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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