MEREDITH RENAE CLARK APNP
NPI 1063735504
Nurse Practitioner in Winston Salem, NC
About Meredith Renae Clark Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEREDITH RENAE CLARK APNP (NPI 1063735504) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5010316) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
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
Meredith Renae Clark Apnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Meredith Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Meredith Clark's NPI number?
The NPI number for Meredith Clark is 1063735504. It was assigned to this individual provider in the NPPES registry on March 11, 2010.
Where is Meredith Clark located?
Meredith Clark practices at 605 Cotton St, Winston Salem, NC 27101. The listed phone number is (336) 716-2255.
What is Meredith Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Meredith Clark enrolled in Medicare?
Yes. Meredith 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 organization bills Medicare for Meredith Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Meredith Clark reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). The 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 Meredith Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Meredith Clark accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Meredith 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 Meredith Clark affiliated with any hospitals?
According to CMS data, Meredith Clark is affiliated with North Carolina Baptist Hospital.
When was this NPI record last updated?
The NPPES record for Meredith Clark was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Meredith Renae Clark, APNP · NPI 1063735504
Nurse Practitioner physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since March 11, 2010.
## Identity
- **NPI:** 1063735504 (Entity type: Individual)
- **Enumerated:** March 11, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5010316 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 605 COTTON ST, Winston Salem, NC 27101-5080
- **Phone:** (336) 716-2255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063735504) · Data from the CMS NPPES public registry.