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

Miss. Allyson Nicole Clancy, PA

Individual provider Surgical Physician Assistant · NPI 1992402234

Miss. Allyson Nicole Clancy, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10012 Kennerly Rd
Saint Louis, MO 63128-2042
Phone: (314) 525-1224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14540 Old Saint Augustine Rd Ste 2571, Jacksonville, FL 32258-7420 — (904) 886-2251

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1992402234
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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