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WHITNEY NICOLE CLARK CNM
NPI 1033605431
Advanced Practice Midwife in Saint Marys, OH

Active since July 09, 2018PECOS EnrolledAccepts Medicare Assignment
85.3/100
CMS Quality Rating
1140 S KNOXVILLE AVE STE B, SAINT MARYS, OH 45885(419) 394-7314(419) 394-7313 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 28, 2023, Dec 1, 2020, Jul 19, 2018 and 1 more (4 updates tracked since 2018).

About Whitney Nicole Clark Cnm NPPES

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

WHITNEY NICOLE CLARK CNM (NPI 1033605431) is an individual advanced practice midwife in Saint Marys, Ohio, licensed in Ohio (APRN.CNM.019373) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and maintains a secondary practice location in Celina.

NPPES Registry Identity

NPI1033605431
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameWHITNEY NICOLE CLARKCredential: CNM
Location Address1140 S KNOXVILLE AVE STE BSaint Marys, OH 45885-2609
Mailing Address1140 S Knoxville Ave Ste DSaint Marys, OH 45885-2609 · (419) 300-1129 · Fax (419) 394-9575
Phone(419) 394-7314
Fax(419) 394-7313
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 9, 2018
Last NPPES UpdateJuly 28, 20234 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1033605431 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 OH · APRN.CNM.019373
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.
1140 S KNOXVILLE AVE STE B, Saint Marys, OH 45885
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Secondary Practice Location 1

Location 1801 Pro Dr Ste D3Celina, OH 45822-3307 · Phone (419) 394-7314 · Fax (419) 394-7313

Other Identifiers 1

Medicaid0300634OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

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

Whitney Nicole Clark 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 ID5193072908
PECOS Enrollment IDI20180725002674
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

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45885 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.63
Promoting Interoperability98
Improvement Activities40
Cost69.04

Other Providers at the Same Location NPPES 6

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

JACQUELINE S SHRIVER CRNP
Nurse Practitioner (Women's Health)
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Auglaize County (419) 394-7314
JESSICA JEAN WUEBKER APRN-CNP
Nurse Practitioner
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Auglaize County (419) 394-7314
BRIDGET E HECKLER CNM
Advanced Practice Midwife
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Auglaize County (419) 394-7314
BRITTANI SKELTON CNM
Advanced Practice Midwife
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Auglaize County (419) 394-7314
POLLY FLEET TRAIN MD
Obstetrics & Gynecology
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Auglaize County (419) 394-7314
MRS. JUSTINA LYNN STAROSKA CNM
Advanced Practice Midwife
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Auglaize County (419) 394-7314

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 Whitney Clark's NPI number?

The NPI number for Whitney Clark is 1033605431. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Whitney Clark located?

Whitney Clark practices at 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885. The listed phone number is (419) 394-7314.

What is Whitney Clark's specialty?

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

Is Whitney Clark enrolled in Medicare?

Yes. Whitney 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.

What insurance does Whitney Clark accept?

Health plans from CareSource and Molina Healthcare list Whitney Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Whitney Clark affiliated with any hospitals?

According to CMS data, Whitney Clark is affiliated with Grand Lake Health System.

When was this NPI record last updated?

The NPPES record for Whitney Clark was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.