WHITNEY CLARK AGPCNP-BC
NPI 1043851645
Nurse Practitioner - Gerontology in Lufkin, TX

Q: What is Whitney Clark's NPI number?

The NPI number for Whitney Clark is 1043851645. It was assigned to this individual provider in the NPPES registry on October 4, 2019.

Q: What is Whitney Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Whitney Clark was last updated on November 27, 2023. 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.

Active since October 04, 2019PECOS Enrolled

319 GASLIGHT BLVD, LUFKIN, TX 75904(936) 634-3713 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Whitney Clark Agpcnp-bc NPPES

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

WHITNEY CLARK AGPCNP-BC (NPI 1043851645) is an individual gerontology provider in Lufkin, Texas, licensed in Texas (AP143273) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043851645

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameWHITNEY CLARKCredential: AGPCNP-BC

Location Address319 GASLIGHT BLVDLufkin, TX 75904-3124

Mailing Address440 Guy York RdLufkin, TX 75901-1777 · (936) 581-6029 · Fax (936) 634-8136

Phone(936) 634-3713

Sole ProprietorYes

Enumeration DateOctober 4, 2019

Last NPPES UpdateNovember 27, 2023

✔ NPI 1043851645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · AP143273

319 GASLIGHT BLVD, Lufkin, TX 75904

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitney Clark Agpcnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 6

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

LUFKIN ENDO ANESTHESIA PLLC

Specialist