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HEIDI CLARK CPNP
NPI 1124189196
Nurse Practitioner - Pediatrics in Washington, DC

Active since December 13, 2006PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1124189196
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameHEIDI CLARKCredential: CPNP
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address8106 Chester StTakoma Park, MD 20912-7339 · (301) 275-5355
Phone(202) 476-5000
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateOctober 9, 2012
✔ NPI 1124189196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in DC · RN960959
111 MICHIGAN AVE NW, Washington, DC 20010
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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 (PECOS)

Heidi Clark Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier20 claims24 services$753.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

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.

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 13 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.