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JACLYN CLARK CRNP
NPI 1033939962
Nurse Practitioner - Acute Care in West Chester, PA

Active since October 15, 2024PECOS Enrolled
600 E MARKET ST STE 303, WEST CHESTER, PA 19382(610) 738-2690 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaclyn Clark Crnp NPPES

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

JACLYN CLARK CRNP (NPI 1033939962) is an individual acute care provider in West Chester, Pennsylvania, licensed in Pennsylvania (SP030814) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033939962
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJACLYN CLARKCredential: CRNP
Location Address600 E MARKET ST STE 303West Chester, PA 19382-2748
Mailing Address1925 Waid WayDoylestown, PA 18901-2215 · (215) 582-4422
Phone(610) 738-2690
Sole ProprietorNo
Enumeration DateOctober 15, 2024
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1033939962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP030814
600 E MARKET ST STE 303, West Chester, PA 19382
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Clark Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
9.8 mi
Surgery
1001 CHESTERBROOK BLVD, 3RD FLOOR
Berwyn, PA 19312
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1396133559 (610) 576-7500

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 19382 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Jaclyn Clark's NPI number?

The NPI number for Jaclyn Clark is 1033939962. It was assigned to this individual provider in the NPPES registry on October 15, 2024.

Where is Jaclyn Clark located?

Jaclyn Clark practices at 600 E Market St Ste 303, West Chester, PA 19382. The listed phone number is (610) 738-2690.

What is Jaclyn Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jaclyn Clark enrolled in Medicare?

Yes. Jaclyn Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Clark reassigns Medicare benefits to University Of Penn-Medical Group (Berwyn, PA). 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 Jaclyn Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn Clark was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.