1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Clinical Nurse Specialist
  6. NPI Profile

STEPHEN CLARK NURSE PRACTITIONER
NPI 1083039085
Clinical Nurse Specialist - Family Health in Philadelphia, PA

Active since February 27, 2014PECOS Enrolled
1013 E HAINES ST, PHILADELPHIA, PA 19138(215) 438-1095 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen Clark Nurse Practitioner NPPES

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

STEPHEN CLARK NURSE PRACTITIONER (NPI 1083039085) is an individual family health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013599) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083039085
Entity TypeIndividualMale
Primary Taxonomy364SF0001X
Provider Legal NameSTEPHEN CLARKCredential: NURSE PRACTITIONER
Location Address1013 E HAINES STPhiladelphia, PA 19138-1533
Mailing Address1013 E Haines StPhiladelphia, PA 19138-1533 · (215) 438-1095
Phone(215) 438-1095
Sole ProprietorYes
Enumeration DateFebruary 27, 2014
✔ NPI 1083039085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in PA · SP013599
1013 E HAINES ST, Philadelphia, PA 19138
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Clark Nurse Practitioner 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 19138 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%46 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Stephen Clark's NPI number?

The NPI number for Stephen Clark is 1083039085. It was assigned to this individual provider in the NPPES registry on February 27, 2014.

Where is Stephen Clark located?

Stephen Clark practices at 1013 E Haines St, Philadelphia, PA 19138. The listed phone number is (215) 438-1095.

What is Stephen Clark's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Is Stephen Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephen Clark was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.