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MS. BONNIE L CLARK WHNP-BC
NPI 1063563310
Nurse Practitioner - Women's Health in Veazie, ME

Active since January 15, 2007PECOS Enrolled
5 SILVER RDG, VEAZIE, ME 04401(207) 942-0824(207) 942-0824 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Bonnie L Clark Whnp-bc NPPES

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

MS. BONNIE L CLARK WHNP-BC (NPI 1063563310) is an individual women's health provider in Veazie, Maine, licensed in Maine (CNP81695) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063563310
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. BONNIE L CLARKCredential: WHNP-BC
Location Address5 SILVER RDGVeazie, ME 04401-7086
Mailing Address5 Silver RdgVeazie, ME 04401-7086 · (207) 942-0824 · Fax (207) 942-0824
Phone(207) 942-0824
Fax(207) 942-0824
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJune 26, 2013
✔ NPI 1063563310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in ME · CNP81695
5 SILVER RDG, Veazie, ME 04401
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Other Names 1

Former Name (1)Mrs. Bonnie L.c. Jackson

Other Identifiers 2

OtherCNP81695ME · Maine State Board Of Nursing
OtherRN18038ME · Maine State Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Bonnie L Clark Whnp-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 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 Bonnie Clark's NPI number?

The NPI number for Bonnie Clark is 1063563310. It was assigned to this individual provider in the NPPES registry on January 15, 2007. The provider is also known as Mrs. Bonnie L.C. Jackson.

Where is Bonnie Clark located?

Bonnie Clark practices at 5 Silver Rdg, Veazie, ME 04401. The listed phone number is (207) 942-0824.

What is Bonnie Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Bonnie Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bonnie Clark was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.