MR. KEVIN RAY CLEMANS (NPI# 1689015927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689015927 |
| Entity Type | Individual |
| Full Name | MR. KEVIN RAY CLEMANS |
| Credential | FNP-BC |
| Practice Address |
2401 W University Ave Muncie IN 47303-3428 |
| Mailing Address |
1200 W White River Blvd Rcs Provider Enrollment Muncie IN 47303-4988 |
| Practice Telephone | 7657473111 |
| Practice Fax Number | 7652812065 |
| Mailing Telephone | 7652544009 |
| Mailing Fax Number | 7652847813 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004655A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS- SJCTS | 000001037665 | 01 |
| IN | RR PTAN | P01734831 | 01 |
| IN | MEDICARE-SJCTS | IN1041012 | 01 |
| IN | ANTHEM BCBS | 000000959186 | 01 |
| IN | ANTHEM | 000001133913 | 01 |
| IN | 201263850 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 W University Ave, Muncie, IN 473033421 | 7652895420 | 7652812089 |
| Street Address |
2401 W UNIVERSITY AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778894 | Adesola Awomolo | Internal Medicine | 2401 W University Ave, Muncie, IN 47303 | 2005-05-23 |
| 1235740846 | Kalee Danielle Gerber | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-08-17 |
| 1295343903 | Elizabeth Ann Ewer | Registered Nurse | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-20 |
| 1043838261 | Bailey Noel Cole | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-14 |
| 1205454857 | Dylan L Holcomb | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-10 |
| 1972124451 | David Andrew Price | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-06 |
| 1396366969 | David Arthur Schmitz | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-05 |
| 1093336943 | Donald Brock Smith | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-01 |
| 1629699772 | Jared Blake Salisbury | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-29 |
| 1831718451 | Morgan Perkins | Dietitian, Registered | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013569821 | Amy J Dockrey | Nurse Practitioner | 2525 W University Ave Ste 403, Muncie, IN 47303-3409 | 2019-07-11 |
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1568960680 | April Nicole Mcelroy-rubush | Nurse Practitioner | 1500 Neely Avenue, Muncie, IN 47306-0001 | 2018-01-23 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1093915613 | Claudia Jane Fenoglio | Nurse Practitioner | 3631 N Morrison Rd Ste 200, Muncie, IN 47304-5547 | 2007-07-22 |
| 1639244817 | Karen Ann Meyers | Nurse Practitioner | 110 N Tillotson Avenue, Muncie, IN 47304-3988 | 2006-11-22 |
| 1235740846 | Kalee Danielle Gerber | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-08-17 |
| 1376151456 | Curtis Lee Laws | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2020-07-15 |
| 1043838261 | Bailey Noel Cole | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-14 |
| 1205454857 | Dylan L Holcomb | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-10 |
| Find all providers in MUNCIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.