MS. MARY P CLEMONS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1285661074
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. MARY P CLEMONS (CRNA)
504, Sheffield Court, The Lakes of Aurora, Aurora, Portage County, Ohio, 44202, United States
AURORA, OH 442027944
Phone: (419) 560-2572
Type: Mailing
Marion General Hospital, 1000, McKinley Park Drive, Marion, Marion County, Ohio, 43302, United States
MARION, OH 43302
Phone: (740) 383-8400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $461.
Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ShockWave Medical, Inc ($367).
Total Amount
$461
General + Research + Ownership
Payments
6
Total payment records
General Amount
$461
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ShockWave Medical, Inc | $367 |
| Shockwave Medical, Inc | $70 |
| CORDIS US CORP. | $25 |
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: 2005-06-20
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 |
|---|---|---|---|---|
| I20050620000131 | I | Certified Registered Nurse Anesthetist (Crna) | OH | 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 |
|---|---|---|---|---|
| 00910 | Anesthesia for other procedure on urinary system through urethra | 82 | 82 | $0 |
| 00902 | Anesthesia for procedure on anus and rectum | 40 | 40 | $0 |
| 00873 | Anesthesia for shock wave therapy for urinary system stones without water bath | 29 | 29 | $0 |
| 00918 | Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope | 18 | 18 | $0 |
| 00912 | Anesthesia for removal of urinary bladder tumors including use of an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44202)
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