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JENNIFER MARY JOY CLARK FNP-BC
NPI 1013686203
Nurse Practitioner - Family in Troy, IL

Active since September 10, 2021PECOS EnrolledAccepts Medicare Assignment
8308 BURLINGTON DR, TROY, IL 62294(618) 410-5317 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Mary Joy Clark Fnp-bc NPPES

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

JENNIFER MARY JOY CLARK FNP-BC (NPI 1013686203) is an individual family provider in Troy, Illinois, licensed in Illinois (209023558) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013686203
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER MARY JOY CLARKCredential: FNP-BC
Location Address8308 BURLINGTON DRTroy, IL 62294-4003
Mailing Address8308 Burlington DrTroy, IL 62294-4003 · (618) 410-5317
Phone(618) 410-5317
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 10, 2021
NPPES CertifiedAugust 1, 2021
✔ NPI 1013686203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209023558
8308 BURLINGTON DR, Troy, IL 62294
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Mary Joy Clark Fnp-bc 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 ID749679850
PECOS Enrollment IDI20211111000509
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62294 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$70.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions

What is Jennifer Clark's NPI number?

The NPI number assigned to this healthcare provider is 1013686203, enumerated as an "individual" on September 10, 2021.

Where is the provider located?

The provider is located at 8308 BURLINGTON DR TROY, IL 62294 and the phone number is (618) 410-5317.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Is Jennifer Clark affiliated with any hospitals?

Jennifer Clark is affiliated with: ANDERSON HOSPITAL, CROSSROADS COMMUNITY HOSPITAL, COMMUNITY HOSPITAL OF STAUNTON and HAMILTON MEMORIAL HOSPITAL.