DAWN N CLARK CRNA
NPI 1093955445
Nurse Anesthetist, Certified Registered in Duluth, MN

Active since February 25, 2009PECOS EnrolledAccepts Medicare Assignment
915 E 1ST ST, DULUTH, MN 55805(218) 249-5352(218) 249-5534 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2020, Apr 9, 2018 (2 updates tracked since 2018).

About Dawn N Clark Crna NPPES

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

DAWN N CLARK CRNA (NPI 1093955445) is an individual nurse anesthetist, certified registered in Duluth, Minnesota, licensed in Minnesota (R 160436-6) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1093955445
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDAWN N CLARKCredential: CRNA
Location Address915 E 1ST STDuluth, MN 55805-2107
Mailing Address915 E 1st StDuluth, MN 55805-2107 · (218) 249-5352 · Fax (218) 249-5534
Fax(218) 249-5534
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 25, 2009
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1093955445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · R 160436-6
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
915 E 1ST ST, Duluth, MN 55805

Other Identifiers 2

Medicaid1093955445MN
Medicaid1093955445WI

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

Dawn N Clark Crna 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 ID8729136197
PECOS Enrollment IDI20090423000663
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

3

Medicare enrollment records show Dawn Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
915 E 1ST ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 513 clinicians in this Medicare group
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group
General Acute Care Hospital
1601 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 555 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.

Hospital Affiliations CMS Care Compare

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

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
Anesthesiology
915 E 1ST ST
DULUTH, MN 55805
Emergency Medicine
915 E 1ST ST
DULUTH, MN 55805
Physical Therapist
915 E 1ST ST
DULUTH, MN 55805
Pharmacist
915 E 1ST ST
DULUTH, MN 55805
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
Anesthesiology
915 E 1ST ST
DULUTH, MN 55805

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 Dawn Clark's NPI number?

The NPI number for Dawn Clark is 1093955445. It was assigned to this individual provider in the NPPES registry on February 25, 2009.

Where is Dawn Clark located?

Dawn Clark practices at 915 E 1st St, Duluth, MN 55805. The listed phone number is (218) 249-5352.

What is Dawn Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dawn Clark enrolled in Medicare?

Yes. Dawn 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 Dawn Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Clark reassigns Medicare benefits to 3 organizations: St. Luke's Hospital Of Duluth (Duluth, MN), Range Regional Health Services (Hibbing, MN) and Grand Itasca Clinic And Hospital (Grand Rapids, MN). 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 Dawn Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Clark accept?

Health plans from Sanford Health Plan list Dawn 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 Dawn Clark affiliated with any hospitals?

According to CMS data, Dawn Clark is affiliated with University Medical Center-Mesabi/ Mesaba Clinics.

When was this NPI record last updated?

The NPPES record for Dawn Clark was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.