SARAH K CLARK NP
NPI 1053028365
Nurse Practitioner - Neonatal in Indianapolis, IN

Q: What is Sarah Clark's NPI number?

The NPI number for Sarah Clark is 1053028365. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Q: What is Sarah Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Clark was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 November 04, 2022PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4779(317) 948-9806 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 1, 2024, Jan 4, 2023, Nov 9, 2022 and 1 more (4 updates tracked since 2022).

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About Sarah K Clark Np NPPES

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

SARAH K CLARK NP (NPI 1053028365) is an individual neonatal provider in Indianapolis, Indiana, licensed in Indiana (71013129A) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1053028365

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameSARAH K CLARKCredential: NP

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 274-4779

Fax(317) 948-9806

Sole ProprietorNo

Enumeration DateNovember 4, 2022

Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1053028365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LN0000X

Licenses✔ Licensed in IN · 71013129A✔ Licensed in IN · 28227628A

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 71013129A (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 12651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 353-9852 · Fax (812) 353-9278

Other Identifiers 1

Medicaid300069062IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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)

Sarah K Clark Np 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 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)