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CRYSTAL MARIE CLARK PA-C
NPI 1164760476
Physician Assistant in Garner, NC

Active since January 21, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5156 NC HIGHWAY 42 W, GARNER, NC 27529(919) 329-5000(919) 329-5300 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2022, Nov 24, 2015 (2 updates tracked since 2015).

About Crystal Marie Clark Pa-c NPPES

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

CRYSTAL MARIE CLARK PA-C (NPI 1164760476) is an individual physician assistant in Garner, North Carolina, licensed in North Carolina (0010-04032) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164760476
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCRYSTAL MARIE CLARKCredential: PA-C
Location Address5156 NC HIGHWAY 42 WGarner, NC 27529-8417
Mailing Address935 Shotwell Rd, Suite 108Clayton, NC 27520-5597 · (919) 550-0821 · Fax (919) 550-0735
Phone(919) 329-5000
Fax(919) 329-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 21, 2013
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
✔ NPI 1164760476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-04032
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5156 NC HIGHWAY 42 W, Garner, NC 27529
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and more.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

Crystal Marie 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 ID840445037
PECOS Enrollment IDI20130218000535
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services75 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
23 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27529 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

MRS. ERICA MICHELLE MCKEARNEY PA-C
Physician Assistant
5156 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 329-5000
CHARLES WESLEY BELL PA
Physician Assistant
5156 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 329-5000
ANDREAS LINKE PA-C
Physician Assistant
5156 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 329-5000
DAYNE DELABASTIDE PA-C
Physician Assistant
5156 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 329-5000
AUSTIN BENEDICT LEHMANN JR. PA
Physician Assistant
5156 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 329-5000
STEPHANIE VOSHELL ORIHOOD PA-C
Physician Assistant
5156 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 329-5000
MS. MELISSA ERNST NP-C
Nurse Practitioner (Family)
5156 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 329-5000
URGENT CARES OF AMERICA NORTH CAROLINA INC
Non-Pharmacy Dispensing Site
5156 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 329-5000

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 Crystal Clark's NPI number?

The NPI number for Crystal Clark is 1164760476. It was assigned to this individual provider in the NPPES registry on January 21, 2013.

Where is Crystal Clark located?

Crystal Clark practices at 5156 Nc Highway 42 W, Garner, NC 27529. The listed phone number is (919) 329-5000.

What is Crystal Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Crystal Clark enrolled in Medicare?

Yes. Crystal 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 Crystal Clark accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Crystal 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 Crystal Clark affiliated with any hospitals?

According to CMS data, Crystal Clark is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Crystal Clark was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.