HEIDI CLARK CPNP
NPI 1124189196
Nurse Practitioner - Pediatrics in Washington, DC
About Heidi Clark Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDI CLARK CPNP (NPI 1124189196) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (RN960959) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heidi Clark Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Heidi Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 1,417 clinicians in this Medicare group
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 20010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
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 Heidi Clark's NPI number?
The NPI number for Heidi Clark is 1124189196. It was assigned to this individual provider in the NPPES registry on December 13, 2006.
Where is Heidi Clark located?
Heidi Clark practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.
What is Heidi Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Heidi Clark enrolled in Medicare?
Yes. Heidi Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Heidi Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Clark reassigns Medicare benefits to Children's Hospital (Washington, DC). 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 Heidi 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 Heidi Clark was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Heidi Clark, CPNP · NPI 1124189196
Pediatrics physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1124189196 (Entity type: Individual)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN960959 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 MICHIGAN AVE NW, Washington, DC 20010-2916
- **Phone:** (202) 476-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital (NPI 1780800128, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1124189196) · Data from the CMS NPPES public registry.