MS. PATRICIA CLARK ARNP
NPI 1114119070
Nurse Practitioner - Psychiatric/Mental Health in Bartow, FL

Q: What is Patricia Clark's NPI number?

The NPI number for Patricia Clark is 1114119070. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Q: What is Patricia Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Clark was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 15, 2007PECOS EnrolledAccepts Medicare Assignment

1255 GOLFVIEW AVE, BARTOW, FL 33830(863) 519-3750(863) 519-3753 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Patricia Clark Arnp NPPES

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

MS. PATRICIA CLARK ARNP (NPI 1114119070) is an individual psychiatric/mental health provider in Bartow, Florida, licensed in Florida (ARNP1843682) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114119070

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. PATRICIA CLARKCredential: ARNP

Location Address1255 GOLFVIEW AVEBartow, FL 33830-6736

Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 519-0728

Phone(863) 519-3750

Fax(863) 519-3753

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 15, 2007

Last NPPES UpdateAugust 15, 2019

✔ NPI 1114119070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · ARNP1843682

Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP1843682 (FL)

1255 GOLFVIEW AVE, Bartow, FL 33830

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Other Identifiers 2

OtherARNP1843682FL · License Number

Medicaid309082501FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

Ms. Patricia Clark Arnp 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 ID8325284029

PECOS Enrollment IDI20130425000358

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 Reassignment

Medicare enrollment records show Patricia Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peace River Center For Personal Development Inc

1.1 mi

Mental Health (Including Community Mental Health Center)

1239 E MAIN ST
Bartow, FL 33830

Reassigned Medicare billing, Florida enrollment
53 clinicians in this Medicare group

NPI 1821097767 (863) 519-0575

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33830 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

IMPRICE JOHNSON RN

Registered Nurse