BERNADETTE E CLARK FNP
NPI 1164883963
Nurse Practitioner in Huntington, IN

Q: What is Bernadette Clark's NPI number?

The NPI number for Bernadette Clark is 1164883963. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Q: What is Bernadette Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Bernadette Clark was last updated on October 8, 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.

Active since March 08, 2016PECOS Enrolled

83.23/100

CMS Quality Rating

2708 GUILFORD ST, HUNTINGTON, IN 46750(260) 355-3900(260) 355-3079 Get Directions Write a Review

NPPES record last updated: October 8, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2022, Dec 1, 2021, Apr 10, 2018 (3 updates tracked since 2018).

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About Bernadette E Clark Fnp NPPES

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

BERNADETTE E CLARK FNP (NPI 1164883963) is an individual nurse practitioner in Huntington, Indiana, licensed in Indiana (71006149A) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164883963

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBERNADETTE E CLARKCredential: FNP

Location Address2708 GUILFORD STHuntington, IN 46750-9701

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 355-3900

Fax(260) 355-3079

Sole ProprietorNo

Enumeration DateMarch 8, 2016

Last NPPES UpdateOctober 8, 20223 updates tracked since enumeration

NPPES CertifiedOctober 8, 2022

✔ NPI 1164883963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71006149A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2708 GUILFORD ST, Huntington, IN 46750

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bernadette E Clark Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Bernadette Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southcentral Foundation

2,946 mi

Community Health

11495 N CALLISON STREET
Sutton, AK 99674

Reassigned Medicare billing, Texas enrollment
459 clinicians in this Medicare group

NPI 1043632037 (907) 631-7665

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46750 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

83.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.2

Promoting Interoperability

100

Improvement Activities

Cost

50.24

Other Providers at the Same Location NPPES 10

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

LINDSEY M MOORMAN NP

Nurse Practitioner (Family)