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JENNIE S CLARK PA C
NPI 1114910247
Physician Assistant - Surgical in Knoxville, TN

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1940 ALCOA HWY STE E260, KNOXVILLE, TN 37920(865) 305-6955(865) 305-8238 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennie S Clark Pa C NPPES

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

JENNIE S CLARK PA C (NPI 1114910247) is an individual surgical provider in Knoxville, Tennessee, licensed in Tennessee (1120) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of University Of South Carolina School Of Medicine (2003).

NPPES Registry Identity

NPI1114910247
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIE S CLARKCredential: PA C
Location Address1940 ALCOA HWY STE E260Knoxville, TN 37920-2266
Mailing AddressPo Box 440547Nashville, TN 37244-0547 · (865) 670-6199 · Fax (865) 670-6188
Phone(865) 305-6955
Fax(865) 305-8238
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2003
Enumeration DateAugust 24, 2005
Last NPPES UpdateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1114910247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TN · 1120
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1120 (TN)
1940 ALCOA HWY STE E260, Knoxville, TN 37920
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Jennie S Clark Pa C 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 ID4183607682
PECOS Enrollment IDI20040607001475
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 2

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
16 services16 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

MERIDETH GEIB MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1940 ALCOA HWY STE E260
KNOXVILLE, TN 37920
Knox County (865) 305-6955
MR. CODY FIELDS PA-C
Physician Assistant (Surgical)
1940 ALCOA HWY STE E260
KNOXVILLE, TN 37920
Knox County (800) 465-3203
MARY GENTRY
Nurse Practitioner (Family)
1940 ALCOA HWY STE E260
KNOXVILLE, TN 37920
Knox County (865) 305-6955
JOHN MURRAY IV M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1940 ALCOA HWY STE E260
KNOXVILLE, TN 37920
Knox County (653) 056-9558
LAUREN WHITE
Nurse Practitioner
1940 ALCOA HWY STE E260
KNOXVILLE, TN 37920
Knox County (865) 305-0000
KRISTEN DAVIS PRICE PA-C
Physician Assistant (Surgical)
1940 ALCOA HWY STE E260
KNOXVILLE, TN 37920
Knox County (865) 305-6955

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 Jennie Clark's NPI number?

The NPI number for Jennie Clark is 1114910247. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Jennie Clark located?

Jennie Clark practices at 1940 Alcoa Hwy Ste E260, Knoxville, TN 37920. The listed phone number is (865) 305-6955.

What is Jennie Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennie Clark enrolled in Medicare?

Yes. Jennie 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.

What insurance does Jennie Clark accept?

Health plans from BlueCross BlueShield of Tennessee list Jennie 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 Jennie Clark affiliated with any hospitals?

According to CMS data, Jennie Clark is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Jennie Clark was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.