MRS. EVAN LEIGH CLARK APRN
NPI 1083071443
Nurse Practitioner - Family in Paducah, KY

Q: What is Evan Clark's NPI number?

The NPI number for Evan Clark is 1083071443. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Q: What is Evan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Clark was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 15, 2016PECOS EnrolledAccepts Medicare Assignment

546 LONE OAK RD, PADUCAH, KY 42003(270) 441-4850 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2020, Jan 15, 2016 (2 updates tracked since 2016).

On this page

About Mrs. Evan Leigh Clark Aprn NPPES

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

MRS. EVAN LEIGH CLARK APRN (NPI 1083071443) is an individual family provider in Paducah, Kentucky, licensed in Kentucky (3009995) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and maintains a secondary practice location in Paducah.

NPPES Registry Identity

NPI1083071443

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. EVAN LEIGH CLARKCredential: APRN

Location Address546 LONE OAK RDPaducah, KY 42003-4526

Mailing Address291 Kenneth LnHickory, KY 42051-9558 · (270) 705-4684

Phone(270) 441-4850

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 15, 2016

Last NPPES UpdateJune 16, 20202 updates tracked since enumeration

NPPES CertifiedJune 16, 2020

✔ NPI 1083071443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3009995

546 LONE OAK RD, Paducah, KY 42003

Open in Google Maps ↗

Secondary Practice Location 1

Location 12501 Kentucky AvePaducah, KY 42003-3813 · Phone (270) 575-2100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mrs. Evan Leigh Clark Aprn 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 ID6204131279

PECOS Enrollment IDI20160229002840

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.

Medicare Billing Reassignments

Medicare enrollment records show Evan Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

James N Eickholz MD Psc

3.2 mi

Family Medicine

2425 NEW HOLT ROAD
Paducah, KY 42001

Reassigned Medicare billing, Kentucky enrollment
4 clinicians in this Medicare group

NPI 1487687133 (270) 441-4850

Southeastern Physician Services PC

255 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Kentucky enrollment
358 clinicians in this Medicare group

NPI 1083835441 (865) 481-1000

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 22

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

680 services153 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

505 services348 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

342 services236 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

124 services55 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

95 services76 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

82 services25 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

76 services29 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

60 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

60 services60 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

57 services57 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

55 services39 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

45 services45 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

42 services42 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

40 services39 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

39 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

23 services23 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

23 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

17 services17 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

16 services15 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180102

Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180104

Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers23 claims23 services$53.90 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers15 claims15 services$111.65 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$35.00 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$200.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORNER HOMECARE

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

546 LONE OAK RD
PADUCAH, KY 42003

McCracken County (270) 443-3311

CORNER HOMECARE INC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

546 LONE OAK RD
PADUCAH, KY 42003

McCracken County (270) 443-3311

DR. BRENTLEY FROSSARD D.O.

Internal Medicine (Pulmonary Disease)

546 LONE OAK RD
PADUCAH, KY 42003

McCracken County (270) 442-3647

DR. NISHANT ALLENA MD

Internal Medicine (Pulmonary Disease)

546 LONE OAK RD
PADUCAH, KY 42003

McCracken County (270) 442-3647

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 Evan Clark's NPI number?

The NPI number for Evan Clark is 1083071443. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Where is Evan Clark located?

Evan Clark practices at 546 Lone Oak Rd, Paducah, KY 42003. The listed phone number is (270) 441-4850.

What is Evan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Evan Clark enrolled in Medicare?

Yes. Evan 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 organizations bill Medicare for Evan Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Clark reassigns Medicare benefits to 2 organizations: James N Eickholz MD Psc (Paducah, KY) and Southeastern Physician Services PC (Oak Ridge, TN). Each 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 Evan Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Clark accept?

Health plans from Anthem Blue Cross and Blue Shield list Evan 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 Evan Clark affiliated with any hospitals?

According to CMS data, Evan Clark is affiliated with Mercy Health - Lourdes Hospital and Baptist Health Paducah.

When was this NPI record last updated?

The NPPES record for Evan Clark was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.