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LAURA CAITLIN CLARK
NPI 1114631728
Physician Assistant in Park Ridge, IL

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment
417 N NORTHWEST HWY APT 2F, PARK RIDGE, IL 60068(337) 207-4301 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, Jan 9, 2023 (2 updates tracked since 2023).

About Laura Caitlin Clark NPPES

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

LAURA CAITLIN CLARK (NPI 1114631728) is an individual physician assistant in Park Ridge, Illinois and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114631728
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA CAITLIN CLARK
Location Address417 N NORTHWEST HWY APT 2FPark Ridge, IL 60068-3258
Mailing Address417 N Northwest Hwy Apt 2fPark Ridge, IL 60068-3258 · (337) 207-4301
Phone(337) 207-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 9, 2023
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1114631728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
417 N NORTHWEST HWY APT 2F, Park Ridge, IL 60068
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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

Laura Caitlin Clark 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 ID6204299068
PECOS Enrollment IDI20230825002221
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

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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 Laura Clark's NPI number?

The NPI number for Laura Clark is 1114631728. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Laura Clark located?

Laura Clark practices at 417 N Northwest Hwy Apt 2F, Park Ridge, IL 60068. The listed phone number is (337) 207-4301.

What is Laura Clark's specialty?

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

Is Laura Clark enrolled in Medicare?

Yes. Laura 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.

Is Laura Clark affiliated with any hospitals?

According to CMS data, Laura Clark is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Laura Clark was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.