DAN RAMOS CLEMENTE FNP-BC
NPI 1366805855
Nurse Practitioner - Family in Downers Grove, IL
NPI Status: Active since April 01, 2016
Contact Information
3551 HIGHLAND AVE STE 200A
DOWNERS GROVE, IL
ZIP 60515
Phone: (844) 376-3876
Fax: (630) 929-0633
- Individual
- Male
- Years of Experience 13
- Nurse Practitioner
- Family
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DAN CLEMENTE
This page provides the complete NPI Profile along with additional information for Dan Clemente, a provider established in Downers Grove, Illinois with a medical specialization in Nurse Practitioner, focusing in family and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1366805855 assigned on April 2016. The practitioner's primary taxonomy code is 363LF0000X with license number 209014081 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1366805855
- Provider Name
- DAN RAMOS CLEMENTE FNP-BC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515
- Location Phone
- (844) 376-3876
- Location Fax
- (630) 929-0633
- Mailing Address
- 29373 NETWORK PL CHICAGO, IL 60673
- Mailing Phone
- (847) 390-5900
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-01-2016
- Last Update Date
- 06-08-2022
- Code Navigator
A nurse practitioner (NP) like Dan Clemente is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209014081
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
209014081 | OTHER (01) | IL | APN LICENSE NUMBER |
Medicare Participation & PECOS Enrollment Status
Dan Clemente is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Dan Clemente is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1850682360
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160614000185
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Fusion of additional segment of spine
Initial hospital inpatient care per day, typically 30 minutes
Insertion of cage or mesh device to spine bone and disc space during spine fusion
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
Placement of stabilizing device to back, 3-6 spine bone segments
Reinsertion of spinal fixation device
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 13 times for 12 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 32 times for 29 patientsFusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
This service was performed 43 times for 12 patientsInitial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
This service was performed 17 times for 17 patientsSpine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
This service was performed 22 times for 13 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 351 times for 325 patientsThis procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
This service was performed 34 times for 16 patientsThis procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
This service was performed 14 times for 14 patientsReinsertion of a spinal fixation device is a surgical procedure aimed at stabilizing the spine. It involves placing a device back into the spine to help maintain its structure and alignment, thus improving mobility and reducing pain.
This service was performed 16 times for 15 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.25 for a new patient copayment and $26.26 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60515 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.02
- Minimum New Patient Price $59.81
- Maximum New Patient Price $181.38
- Average New Patient Copayment $23.25
- Minimum New Patient Copayment $14.95
- Maximum New Patient Copayment $45.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.07
- Minimum Established Patient Price $19.15
- Maximum Established Patient Price $147.12
- Average Established Patient Copayment $26.26
- Minimum Established Patient Copayment $4.78
- Maximum Established Patient Copayment $36.78
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dan Clemente is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ADVOCATE GOOD SAMARITAN HOSPITAL | 3815 HIGHLAND AVENUE DOWNERS GROVE, IL 60515 | (630) 275-5900 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 6 | 6 | 8 | 0 | 5 | 8 | 5 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 12 | 6 | 16 | 0 | 10 | 8 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 2 + 6 + 1 + 6 + 0 + 1 + 0 + 8 + 1 + 0 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1366805855 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1770912412 | JEANNE BARKLEY APN Individual | Nurse Practitioner (Adult Health) | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1255006144 | CAYLA M HULTMARK PA Individual | Physician Assistant | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1477251882 | RYAN TSIAO Individual | Physician Assistant | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1134825136 | KAYLA ANN HANSON PA-C Individual | Physician Assistant | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1790307387 | BRETT KILLIAN DIXON PA Individual | Physician Assistant | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1659075943 | FELTON KNIGHTON JR. Individual | Physician Assistant (Surgical) | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1104456912 | ASHLYNN MARIE KOKASKA Individual | Physician Assistant | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1376067272 | KRISHNA CHAITANYA JOSHI MD Individual | Neurological Surgery | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1396879672 | JESSE KONG MMS, PA-C Individual | Physician Assistant (Surgical) | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
1952973117 | ANNE-LISE THUY LE PA-C Individual | Physician Assistant | 3551 HIGHLAND AVE STE 200A DOWNERS GROVE, IL 60515 (844) 376-3876 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366805855, enumerated in the NPI registry as an "individual" on April 01, 2016
The provider is located at 3551 Highland Ave Ste 200a Downers Grove, Il 60515 and the phone number is (844) 376-3876
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 13 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $93.02 with an average copayment of $23.25 for new patient appointments. Established patients should expect a typical charge of $105.07 and an average copayment of 26.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Fusion of additional segment of spine, Initial hospital inpatient care per day, typically 30 minutes, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment, Placement of stabilizing device to back, 3-6 spine bone segments and Reinsertion of spinal fixation device.
The practitioner is affiliated to the following hospital(s): ADVOCATE GOOD SAMARITAN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 01, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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