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JEANANN CLARK PHYSICIAN ASSISTANT
NPI 1073607800
Physician Assistant - Medical in New York, NY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
525 E 68TH ST, BOX 141, NEW YORK, NY 10021(212) 746-2059(212) 746-8596 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeanann Clark Physician Assistant NPPES

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

JEANANN CLARK PHYSICIAN ASSISTANT (NPI 1073607800) is an individual medical provider in New York, New York, licensed in New York (008259) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073607800
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJEANANN CLARKCredential: PHYSICIAN ASSISTANT
Location Address525 E 68TH ST, BOX 141New York, NY 10021-4870
Mailing Address525 E 68th St, Box 141New York, NY 10065-4885 · (212) 746-2059 · Fax (212) 746-8596
Phone(212) 746-2059
Fax(212) 746-8596
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1073607800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 008259
525 E 68TH ST, New York, NY 10021
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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

Jeanann Clark Physician Assistant 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 ID2466495023
PECOS Enrollment IDI20050604000034
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.

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

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.

ELEANOR BRADLEY CRNA
Registered Nurse
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-2846
LOUISE REBECCA MERRIMAN R.D.
Nutritionist
525 E 68TH ST, GREENBERG PAVILION RM 10-171
NEW YORK, NY 10021
New York County (212) 746-0838
DATTATRETYDU NORI M.D.
Radiology (Radiation Oncology)
525 E 68TH ST, N046
NEW YORK, NY 10021
New York County (212) 746-3141
MS. JANE HARRINGTON NP
Nurse Practitioner (Neonatal)
525 E 68TH ST, NYPH
NEW YORK, NY 10021
New York County (212) 746-0318
JESSICA RIVERA BROWN OTR
Occupational Therapist
525 E 68TH ST, NEW YORK PRESBYTERIAN HOSPITAL AT CORNELL
NEW YORK, NY 10021
New York County (212) 746-1623
DR. NATALIA RYJIKOV
Anesthesiology
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-2846
DR. MATTHEW C. GOMILLION
Anesthesiology
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 745-2846
STEVEN KAPLAN MD
Emergency Medicine
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-0780

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 Jeanann Clark's NPI number?

The NPI number for Jeanann Clark is 1073607800. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jeanann Clark located?

Jeanann Clark practices at 525 E 68th St Box 141, New York, NY 10021. The listed phone number is (212) 746-2059.

What is Jeanann Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeanann Clark enrolled in Medicare?

Yes. Jeanann 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 Jeanann Clark affiliated with any hospitals?

According to CMS data, Jeanann Clark is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Jeanann Clark was last updated on September 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.