CHRISTINA JANE CLARK PA
NPI 1093470957
Physician Assistant in Oklahoma City, OK

Q: What is Christina Clark's NPI number?

The NPI number for Christina Clark is 1093470957. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Q: What is Christina Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Christina Clark was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 November 05, 2021PECOS EnrolledAccepts Medicare Assignment

5201 W MEMORIAL RD, OKLAHOMA CITY, OK 73142(405) 755-4050 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Nov 25, 2022, Dec 13, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Christina Jane Clark Pa NPPES

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

CHRISTINA JANE CLARK PA (NPI 1093470957) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (4747) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and maintains a secondary practice location in Broken Arrow.

NPPES Registry Identity

NPI1093470957

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCHRISTINA JANE CLARKCredential: PA

Location Address5201 W MEMORIAL RDOklahoma City, OK 73142-2004

Mailing Address705 W Oakland StBroken Arrow, OK 74012-1656 · (918) 251-2666

Phone(405) 755-4050

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 5, 2021

Last NPPES UpdateFebruary 4, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1093470957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 4747

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5201 W MEMORIAL RD, Oklahoma City, OK 73142

Open in Google Maps ↗

Secondary Practice Location 1

Location 1705 W Oakland StBroken Arrow, OK 74012-1656 · Phone (918) 251-2666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

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

Christina Jane Clark Pa 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 ID1052779246

PECOS Enrollment IDI20230620003494

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 2

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Mercy Hospital Guthrie

Critical Access Hospitals · Guthrie, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number371317

Location200 S Academy RdGuthrie, OK 73044 · Logan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73142 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

STANLEY D. CORLEY M.D.

Family Medicine