MS. BERNICE L CLARK C.R.N.P.
NPI 1174515795
Nurse Practitioner - Family in Haddonfield, NJ

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
132 GROVE ST, HADDONFIELD, NJ 08033(856) 354-2211(856) 354-6181 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Bernice L Clark C.r.n.p. NPPES

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

MS. BERNICE L CLARK C.R.N.P. (NPI 1174515795) is an individual family provider in Haddonfield, New Jersey, licensed in New Jersey (26NN09214200) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Temple University School Of Medicine (1997).

NPPES Registry Identity

NPI1174515795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. BERNICE L CLARKCredential: C.R.N.P.
Location Address132 GROVE STHaddonfield, NJ 08033-1224
Mailing Address402 Lippincott DrMarlton, NJ 08053-4112 · (856) 782-3300 · Fax (856) 504-8029
Fax(856) 354-6181
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1997
Enumeration DateAugust 19, 2005
Last NPPES UpdateApril 8, 2016
NPI 1174515795 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
Licenses Licensed in NJ · 26NN09214200 Licensed in PA · SP007726
132 GROVE ST, Haddonfield, NJ 08033

Other Identifiers 2

Medicare UPINP36257
Medicare OSCAR/certification077356

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

Ms. Bernice L Clark C.r.n.p. 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 ID1052480456
PECOS Enrollment IDI20080527000015
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services113 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
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.
38 services35 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08033 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers26 claims49 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims18 services$1.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
132 GROVE ST, SUITE A
HADDONFIELD, NJ 08033
Physical Therapist
132 GROVE ST, COOPER PHYSICAL THERAPY
HADDONFIELD, NJ 08033
Family Medicine
132 GROVE ST, SUITE A
HADDONFIELD, NJ 08033
Family Medicine
132 GROVE ST, STE A
HADDONFIELD, NJ 08033
Physician Assistant
132 GROVE ST
HADDONFIELD, NJ 08033
Physical Therapist (Orthopedic)
132 GROVE ST, SUITE A
HADDONFIELD, NJ 08033
Family Medicine
132 GROVE ST, SUITE A
HADDONFIELD, NJ 08033
Durable Medical Equipment & Medical Supplies
132 GROVE ST
HADDONFIELD, NJ 08033

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 Bernice Clark's NPI number?

The NPI number for Bernice Clark is 1174515795. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Bernice Clark located?

Bernice Clark practices at 132 Grove St, Haddonfield, NJ 08033. The listed phone number is (856) 354-2211.

What is Bernice Clark's specialty?

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

Is Bernice Clark enrolled in Medicare?

Yes. Bernice 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 Bernice Clark affiliated with any hospitals?

According to CMS data, Bernice Clark is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Bernice Clark was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.