ELIZABETH F CLARK MSC, PA-C
NPI 1053867853
Physician Assistant in Appleton, WI

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST, APPLETON, WI 54911(920) 731-4101 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2025, Aug 12, 2019, Aug 31, 2016 (3 updates tracked since 2016).

About Elizabeth F Clark Msc, Pa-c NPPES

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

ELIZABETH F CLARK MSC, PA-C (NPI 1053867853) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (3925-23) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1053867853
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH F CLARKCredential: MSC, PA-C
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address1818 N Meade StAppleton, WI 54911-3454 · (507) 450-6906
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2016
Enumeration DateAugust 31, 2016
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
NPI 1053867853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 3925-23
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1818 N MEADE ST, Appleton, WI 54911

Secondary Practice Location 1

Location 1619 N Segoe Rd, Apt 810Madison, WI 53705-3112 · Phone (507) 450-6906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elizabeth F Clark Msc, Pa-c 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 ID8628359882
PECOS Enrollment IDI20161229001416
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.

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Surgery
1818 N MEADE ST, SUITE 240 WEST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner (Family)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Anesthesiology
1818 N MEADE ST
APPLETON, WI 54911

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 Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1053867853. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Elizabeth Clark located?

Elizabeth Clark practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-4101.

What is Elizabeth Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elizabeth Clark enrolled in Medicare?

Yes. Elizabeth 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.

Is Elizabeth Clark affiliated with any hospitals?

According to CMS data, Elizabeth Clark is affiliated with Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Elizabeth Clark was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.