KRISTIN ELISE CLARK MD
NPI 1164764585
Anesthesiology in Plymouth, MN
NPI Status: Active since March 24, 2013
Contact Information
14700 28TH AVE N STE 20
PLYMOUTH, MN
ZIP 55447
Phone: (763) 559-3779
Fax: (763) 450-3986
- Individual
- Female
- Anesthesiology
- Accepts Insurance
- PECOS Enrolled
About KRISTIN CLARK
This page provides the complete NPI Profile along with additional information for Kristin Clark, an anesthesiologist established in Plymouth, Minnesota with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1164764585 assigned on March 2013. The practitioner's primary taxonomy code is 207L00000X with license number 64496 (MN). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1164764585
- Provider Name
- KRISTIN ELISE CLARK MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14700 28TH AVE N STE 20 PLYMOUTH, MN 55447
- Location Phone
- (763) 559-3779
- Location Fax
- (763) 450-3986
- Mailing Address
- PO BOX 47159 PLYMOUTH, MN 55447
- Mailing Phone
- (763) 559-3779
- Mailing Fax
- (763) 450-3986
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-24-2013
- Last Update Date
- 09-26-2018
- Code Navigator
An anesthesiologist like Kristin Clark manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Secondary Locations
- 8701 W Watertown Plank Rd
Milwaukee, WI 53226
(414) 955-4575
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 64496
- License State
- MN
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kristin Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164764585, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164764585, enumerated as an "individual" on March 24, 2013.
The provider is located at 14700 28TH AVE N STE 20 PLYMOUTH, MN 55447 and the phone number is (763) 559-3779.
Anesthesiology with taxonomy code 207L00000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
