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TABITHA RYNN CLARK CNP
NPI 1124762695
Nurse Practitioner - Primary Care in Arthurdale, WV

Active since April 21, 2022PECOS EnrolledAccepts Medicare Assignment
519 G ROAD, ARTHURDALE, WV 26520(304) 864-0884 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 29, 2022, Apr 21, 2022 (2 updates tracked since 2022).

About Tabitha Rynn Clark Cnp NPPES

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

TABITHA RYNN CLARK CNP (NPI 1124762695) is an individual primary care provider in Arthurdale, West Virginia, licensed in West Virginia (112519) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124762695
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTABITHA RYNN CLARKCredential: CNP
Location Address519 G ROADArthurdale, WV 26520
Mailing Address110 Williams StKingwood, WV 26537-1229
Phone(304) 864-0884
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 21, 2022
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1124762695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in WV · 112519
519 G ROAD, Arthurdale, WV 26520
Open in Google Maps ↗

Other Names 1

Other Name (5)Tabitha Rynn Jeffries

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

Tabitha Rynn Clark Cnp 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 ID9436680790
PECOS Enrollment IDI20241122000358
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 4

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

Grafton City Hospital, Inc

Critical Access Hospitals · Grafton, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511307
Location1 Hospital PlazaGrafton, WV 26354 · Taylor County
Emergency services

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26520 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 3

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

HOSPICE CARE CORPORATION
Hospice Care, Community Based
519 G ROAD
ARTHURDALE, WV 26520
Preston County (304) 864-0884
HOSPICE CARE CORPORATION
Internal Medicine (Hospice and Palliative Medicine)
519 G ROAD
ARTHURDALE, WV 26520
Preston County (304) 864-0884
HOSPICE CARE CORPORATION
Hospice Care, Community Based
519 G ROAD
ARTHURDALE, WV 26520
Preston County (304) 376-8398

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 Tabitha Clark's NPI number?

The NPI number for Tabitha Clark is 1124762695. It was assigned to this individual provider in the NPPES registry on April 21, 2022. The provider is also known as Tabitha Rynn Jeffries.

Where is Tabitha Clark located?

Tabitha Clark practices at 519 G Road, Arthurdale, WV 26520. The listed phone number is (304) 864-0884.

What is Tabitha Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tabitha Clark enrolled in Medicare?

Yes. Tabitha 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 Tabitha Clark affiliated with any hospitals?

According to CMS data, Tabitha Clark is affiliated with West Virginia University Hospitals, Inc, Davis Medical Center, Grafton City Hospital, Inc and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tabitha Clark was last updated on September 29, 2022. 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.