AMIE MELISSA CLARK CRNA
NPI 1053617589
Nurse Anesthetist, Certified Registered in Watkinsville, GA

Active since January 31, 2011Accepts Medicare Assignment
77.32/100
CMS Quality Rating
1040 SIMONTON WAY, WATKINSVILLE, GA 30677(314) 280-8157 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2026, Apr 25, 2017 (2 updates tracked since 2017).

About Amie Melissa Clark Crna NPPES

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

AMIE MELISSA CLARK CRNA (NPI 1053617589) is an individual nurse anesthetist, certified registered in Watkinsville, Georgia, licensed in Georgia (RN249133) and active in the NPI registry since January 2011. She is affiliated with Piedmont Athens Regional Medical Center and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053617589
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMIE MELISSA CLARKCredential: CRNA
Location Address1040 SIMONTON WAYWatkinsville, GA 30677-2598
Mailing Address1040 Simonton WayWatkinsville, GA 30677-2598 · (314) 280-8157
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 31, 2011
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1053617589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN249133
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1040 SIMONTON WAY, Watkinsville, GA 30677

Other Names 1

Former Name (1)Mrs. Amie Melissa Spruell Crna

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amie Melissa Clark Crna 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 ID7113102914
PECOS Enrollment IDI20191108003048

Medicare Billing Reassignments

12

Medicare enrollment records show Amie Clark reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
1360 CADUCEUS WAY BLDG 300
Watkinsville, GA 30677
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
Anesthesiology
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 91 clinicians in this Medicare group
Specialist
1557 JANMAR RD.
Snellville, GA 30078
  • Reassigned Medicare billing, Georgia enrollment
  • 75 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
763 OLD NORCROSS RD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 111 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2324 LIMESTONE OVERLOOK STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2324 LIMESTONE OVERLOOK STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
710 N IRWIN AVE
Ocilla, GA 31774
  • Reassigned Medicare billing, Georgia enrollment
  • 38 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.

Areas of Expertise CMS Part B claims 3

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

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
29 services28 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
22 services22 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.32
Improvement Activities40

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 Amie Clark's NPI number?

The NPI number for Amie Clark is 1053617589. It was assigned to this individual provider in the NPPES registry on January 31, 2011. The provider is also known as Mrs. Amie Melissa Spruell Crna.

Where is Amie Clark located?

Amie Clark practices at 1040 Simonton Way, Watkinsville, GA 30677. The listed phone number is (314) 280-8157.

What is Amie Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Amie Clark enrolled in Medicare?

Yes. Amie Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amie Clark reassigns Medicare benefits to 12 organizations: Oconee River Anesthesia Associates, LLC (Watkinsville, GA), Medical Center Anesthesiology Of Athens (Athens, GA), Advanced Urology Anesthesia, LLC (Snellville, GA), Sg Anesthesia LLC (Lawrenceville, GA), Gi Anesthesia Of Georgia LLC (Gainesville, GA) and 7 more organizations, listed in the Medicare section above. Each 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 Amie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amie Clark accept?

Health plans from Oscar Health and Oscar Insurance Company list Amie 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.

Is Amie Clark affiliated with any hospitals?

According to CMS data, Amie Clark is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Amie Clark was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.