JENNA ELIZABETH CLARK NP
NPI 1104201649
Nurse Practitioner - Family in Jackson, MS

Q: What is Jenna Clark's NPI number?

The NPI number for Jenna Clark is 1104201649. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Q: What is Jenna 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 Jenna Clark was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 27, 2015PECOS EnrolledAccepts Medicare Assignment

88.44/100

CMS Quality Rating

971 LAKELAND DR STE 1250, JACKSON, MS 39216(601) 200-5955 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Jul 31, 2024 (2 updates tracked since 2024).

On this page

About Jenna Elizabeth Clark Np NPPES

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

JENNA ELIZABETH CLARK NP (NPI 1104201649) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R890237) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104201649

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNA ELIZABETH CLARKCredential: NP

Location Address971 LAKELAND DR STE 1250Jackson, MS 39216-4609

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-4644 · Fax (225) 765-4278

Phone(601) 200-5955

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 27, 2015

Last NPPES UpdateMay 14, 20252 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1104201649 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 MS · R890237

971 LAKELAND DR STE 1250, Jackson, MS 39216

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Secondary Practice Locations 2

Location 1969 Lakeland DrJackson, MS 39216-4606 · Phone (601) 200-4644 · Fax (601) 200-4645

Location 2971 Lakeland Dr Ste 356Jackson, MS 39216-4607 · Phone (601) 200-4644 · Fax (601) 200-4645

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Jenna Elizabeth Clark Np 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 ID6103134077

PECOS Enrollment IDI20150928000879

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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

91 services63 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

56 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

35 services25 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number250048

Location969 Lakeland DrJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

88.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.29

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 16

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

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