Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald W Clevenger, PAC

Individual provider Physician Assistant · NPI 1083610646

Gerald W Clevenger, PAC is a Physician Assistant in Troy, Kansas. Qualified in 1977, 49 years ago. Practices with Amberwell Atchison Association, a 53-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
49
Licensed in
KS
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

311 W Locust St
Troy, KS 66087
Phone: (785) 985-3504
Fax: (785) 985-3813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 800 Ravenhill Dr Ste 100&107, Atchison, KS 66002-9204 — (913) 367-7300
  • 801 Atchison St, Atchison, KS 66002-2352 — (913) 367-5020
  • 300 Utah St Ste 200, Hiawatha, KS 66434-2314 — (785) 742-2161
  • 415 W Main St, Highland, KS 66035-4143 — (785) 442-3213
  • 1903 Euclid Ave, Horton, KS 66439-1238 — (785) 486-2468
  • 1004 Progress Dr Ste 180&145, Lansing, KS 66043-6326 — (913) 297-3215

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1500117 (KS)

Record details

NPI number1083610646
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address800 Ravenhill Dr, Atchison, KS 66002-9204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Amberwell Atchison Association — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare