TARA CLARK
NPI 1033703061
Nurse Practitioner - Family in Stafford, VA

Active since February 20, 2021PECOS EnrolledAccepts Medicare Assignment
422 GARRISONVILLE RD STE 102, STAFFORD, VA 22554(540) 657-4800 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 19, 2024, Feb 20, 2021 (2 updates tracked since 2021).

About Tara Clark NPPES

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

TARA CLARK (NPI 1033703061) is an individual family provider in Stafford, Virginia, licensed in Virginia (0024180221) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains a secondary practice location in Fredericksburg.

NPPES Registry Identity

NPI1033703061
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA CLARK
Location Address422 GARRISONVILLE RD STE 102Stafford, VA 22554-1573
Mailing Address6315 Wendover CtFredericksburg, VA 22407-5061 · (386) 898-4714
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2019
Enumeration DateFebruary 20, 2021
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
NPI 1033703061 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 VA · 0024180221
422 GARRISONVILLE RD STE 102, Stafford, VA 22554

Secondary Practice Location 1

Location 16315 Wendover CtFredericksburg, VA 22407-5061 · Phone (386) 898-4714

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

Tara Clark 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 ID6709264617
PECOS Enrollment IDI20220606002131
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
239 services89 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
184 services78 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
152 services60 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
65 services34 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
36 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22554 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES

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

Family Medicine
422 GARRISONVILLE RD STE 102
STAFFORD, VA 22554

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033703061, enumerated as an "individual" on February 20, 2021.

The provider is located at 422 GARRISONVILLE RD STE 102 STAFFORD, VA 22554 and the phone number is (540) 657-4800.

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

Tara Clark is affiliated with: MARY WASHINGTON HOSPITAL and STAFFORD HOSPITAL, LLC.