DEBORAH S CLARK APRN - NPI 1144461559 - Nurse Practitioner in Morgantown, KY

Q: What is Deborah Clark's NPI number?

The NPI number for Deborah Clark is 1144461559. It was assigned to this individual provider in the NPPES registry on March 13, 2009.

Q: What is Deborah Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Deborah Clark was last updated on May 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Deborah S Clark Aprn NPPES

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

DEBORAH S CLARK APRN (NPI 1144461559) is an individual family provider in Morgantown, Kentucky, licensed in Kentucky (3005972) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144461559

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEBORAH S CLARKCredential: APRN

Location Address210 N MAIN STMorgantown, KY 42261-7919

Mailing AddressPo Box 148Hartford, KY 42347-0148 · (270) 504-1300 · Fax (270) 504-1380

Phone(270) 526-3137

Fax(270) 526-4829

Sole ProprietorNo

Enumeration DateMarch 13, 2009

Last NPPES UpdateMay 22, 2015

✔ NPI 1144461559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3005972

210 N MAIN ST, Morgantown, KY 42261

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Other Identifiers 5

Medicaid7100082850KY

Medicare PIN3397779KY

Other000000620424KY · Anthem # With Chs, Inc.

Medicaid200975180IN

Medicare PINK167711KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deborah S Clark Aprn 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 42261 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 7

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

CHLOE CORLEY

Counselor