MRS. DAKOTA ELLIS CLARK FNP
NPI 1033894043
Nurse Practitioner - Family in Scottsboro, AL
About Mrs. Dakota Ellis Clark Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DAKOTA ELLIS CLARK FNP (NPI 1033894043) is an individual family provider in Scottsboro, Alabama, licensed in Alabama (1-156690) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Dakota Ellis Clark Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dakota Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsboro, AL 35768
- Reassigned Medicare billing, Alabama enrollment
- 47 clinicians in this Medicare group
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 35768 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SCOTTSBORO, AL 35768
SCOTTSBORO, AL 35768
SCOTTSBORO, AL 35768
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 Dakota Clark's NPI number?
The NPI number for Dakota Clark is 1033894043. It was assigned to this individual provider in the NPPES registry on June 19, 2023.
Where is Dakota Clark located?
Dakota Clark practices at 380 Woods Cove Rd, Scottsboro, AL 35768. The listed phone number is (256) 218-3340.
What is Dakota Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dakota Clark enrolled in Medicare?
Yes. Dakota Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dakota Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dakota Clark reassigns Medicare benefits to Highlands Professional Services (Scottsboro, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dakota Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dakota Clark accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Dakota 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.
When was this NPI record last updated?
The NPPES record for Dakota Clark was last updated on June 19, 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.
# Mrs. Dakota Ellis Clark, FNP · NPI 1033894043
Family physician in Scottsboro, Alabama. Individual provider, active in the CMS NPPES registry since June 19, 2023.
## Identity
- **NPI:** 1033894043 (Entity type: Individual)
- **Enumerated:** June 19, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-156690 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 380 WOODS COVE RD, Scottsboro, AL 35768-2428
- **Phone:** (256) 218-3340 · **Fax:** (256) 218-3655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Highlands Professional Services (NPI 1750041786, Scottsboro, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1033894043) · Data from the CMS NPPES public registry.