MRS. RENEE LYNN CLARK DNP, CNM
NPI 1003211251
Advanced Practice Midwife in Saint Paul, MN

Q: What is Renee Clark's NPI number?

The NPI number for Renee Clark is 1003211251. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Q: What is Renee Clark's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Clark was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 30, 2014PECOS EnrolledAccepts Medicare Assignment

1026 7TH ST W, SAINT PAUL, MN 55102(651) 758-9500 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2024, Oct 30, 2022 (2 updates tracked since 2022).

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About Mrs. Renee Lynn Clark Dnp, Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. RENEE LYNN CLARK DNP, CNM (NPI 1003211251) is an individual advanced practice midwife in Saint Paul, Minnesota, licensed in Minnesota (358) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003211251

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. RENEE LYNN CLARKCredential: DNP, CNM

Location Address1026 7TH ST WSaint Paul, MN 55102-3828

Mailing Address1026 7th St WSaint Paul, MN 55102-3828 · (651) 758-9500

Phone(651) 758-9500

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 30, 2014

Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1003211251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in MN · 358

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

1026 7TH ST W, Saint Paul, MN 55102

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Renee Lynn Clark Dnp, Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42535585

PECOS Enrollment IDI20240126001261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Renee Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Family Practice Health Center

Same address

Family Medicine

1026 7TH ST W
Saint Paul, MN 55102

Reassigned Medicare billing, Minnesota enrollment
16 clinicians in this Medicare group

NPI 1851300149 (651) 758-9500

West Side Community Health Services, Inc.

1.3 mi

Federally Qualified Health Center (FQHC)

624 SMITH AVE S
Saint Paul, MN 55107

Reassigned Medicare billing, Minnesota enrollment
101 clinicians in this Medicare group

NPI 1043187289 (651) 602-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA SHIRLEY JOHNSON PA-C

Physician Assistant