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MISS RONNIE MASHETTE CLARK CRNP
NPI 1114762689
Family Medicine in Pocomoke City, MD

Active since June 27, 2024PECOS Enrolled
PO BOX 171, POCOMOKE CITY, MD 21851(443) 497-8818 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Jun 27, 2024 (2 updates tracked since 2024).

About Miss Ronnie Mashette Clark Crnp NPPES

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

MISS RONNIE MASHETTE CLARK CRNP (NPI 1114762689) is an individual family medicine provider in Pocomoke City, Maryland, licensed in Maryland (R203521) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114762689
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMISS RONNIE MASHETTE CLARKCredential: CRNP
Location AddressPO BOX 171Pocomoke City, MD 21851-0171
Mailing AddressPo Box 171Pocomoke City, MD 21851-0171 · (443) 497-8818
Phone(443) 497-8818
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 27, 2024
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1114762689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · R203521
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License R203521 (MD)
PO BOX 171, Pocomoke City, MD 21851
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Ronnie Mashette Clark Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416424593
PECOS Enrollment IDI20260702000984
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 Ronnie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Arms & Hearts Health Services
2.6 mi
Rehabilitation, Substance Use Disorder
1532 OCEAN HWY STE 101&102
Pocomoke City, MD 21851
  • Reassigned Medicare billing, Maryland enrollment
NPI 1578116331 (410) 881-6151

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 21851 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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 Ronnie Clark's NPI number?

The NPI number for Ronnie Clark is 1114762689. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Ronnie Clark located?

Ronnie Clark practices at PO Box 171, Pocomoke City, MD 21851. The listed phone number is (443) 497-8818.

What is Ronnie Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ronnie Clark enrolled in Medicare?

Yes. Ronnie Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ronnie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronnie Clark reassigns Medicare benefits to Open Arms & Hearts Health Services (Pocomoke City, MD). The 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 Ronnie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ronnie Clark was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.