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Nicole M. Clements, PAC

NPI 1275738403ActiveIndividual· Physician Assistant· Maple Grove, MN

Physician Assistant (PAC) with Park Nicollet Clinic, practicing in Maple Grove, Minnesota. 245 Medicare patients in 2024, $15,678 paid; nearly all of their 532 Part D prescriptions were generic (96%). Lists Park Nicollet Methodist Hospital as a hospital affiliation.

Overview

NPI1275738403
StatusActive
Entity typeIndividual
CredentialPAC
Sole proprietorNo
NPI issuedJun 18, 2007
Last updated in NPPESNov 30, 2022
Certified by providerNov 30, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X10081MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients245
Services billed359 across 32 procedure codes
Paid by Medicare$15,678

Part D prescriptions in 2024

Prescriptions (claims)532 · 543 30-day fills
Patients370
Total drug cost$5,782
Generic share96% of claims

Medicare sources and data years

Education and affiliations

Graduation year1999
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Maple Grove

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