KIM EVANS CLARK CRNA
NPI 1023255940
Nurse Anesthetist, Certified Registered in Greenville, SC

Active since January 14, 2009Accepts Medicare Assignment
701 GROVE RD, 2ND FLOOR ANESTHESIA, GREENVILLE, SC 29605(864) 454-0888(864) 454-1130 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kim Evans Clark Crna NPPES

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

KIM EVANS CLARK CRNA (NPI 1023255940) is an individual nurse anesthetist, certified registered in Greenville, South Carolina, licensed in South Carolina (3798) and active in the NPI registry since January 2009. She is affiliated with Prisma Health Patewood Hospital, maintains a secondary practice location in Greenville, and is a graduate of Medical University Of South Carolina College Of Medicine (2008).

NPPES Registry Identity

NPI1023255940
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIM EVANS CLARKCredential: CRNA
Location Address701 GROVE RD, 2ND FLOOR ANESTHESIAGreenville, SC 29605-5611
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 797-6220 · Fax (864) 797-6307
Fax(864) 454-1130
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2008
Enumeration DateJanuary 14, 2009
Last NPPES UpdateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
NPI 1023255940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in SC · 3798
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

701 GROVE RD, Greenville, SC 29605

Secondary Practice Location 1

Location 17 Independence Pt Ste 300Greenville, SC 29615-4569 · Phone (864) 522-3700 · Fax (864) 522-3705

Other Identifiers 1

MedicaidAN1970SC

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

Kim Evans Clark Crna 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 ID5092872978
PECOS Enrollment IDI20090319000541

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
17 services17 patients
Anesthesia for open or endoscopic total shoulder joint replacement 01638
Anesthesia for total shoulder joint replacement, either open or endoscopic, involves using medications to block pain during surgery. It can be general (you're asleep) or regional (only the area being operated on is numbed). This ensures comfort and stillness, facilitating a successful procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Hospitalist
701 GROVE RD, 5TH FLOOR
GREENVILLE, SC 29605
Nurse Anesthetist, Certified Registered
701 GROVE RD, ANESTHESIA DEPT
GREENVILLE, SC 29605
Clinical Neuropsychologist
701 GROVE RD
GREENVILLE, SC 29605
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Internal Medicine
701 GROVE RD, 5TH FLOOR SUPPORT TOWER
GREENVILLE, SC 29605
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Clark's NPI number?

The NPI number for Kim Clark is 1023255940. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Where is Kim Clark located?

Kim Clark practices at 701 Grove Rd 2nd Floor Anesthesia, Greenville, SC 29605. The listed phone number is (864) 454-0888.

What is Kim Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kim Clark enrolled in Medicare?

Yes. Kim Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kim Clark affiliated with any hospitals?

According to CMS data, Kim Clark is affiliated with Prisma Health Patewood Hospital.

When was this NPI record last updated?

The NPPES record for Kim Clark was last updated on January 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.