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RHONDA D CLARK CRNA
NPI 1174521413
Nurse Anesthetist, Certified Registered in Ft Walton Beach, FL

Active since July 11, 2005Accepts Medicare Assignment
928 MAR WALT DR, SUITE 201, FT WALTON BEACH, FL 32547(850) 862-4377 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rhonda D Clark Crna NPPES

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

RHONDA D CLARK CRNA (NPI 1174521413) is an individual nurse anesthetist, certified registered in Ft Walton Beach, Florida, licensed in Florida (ARNP2598982) and active in the NPI registry since July 2005. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1174521413
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameRHONDA D CLARKCredential: CRNA
Location Address928 MAR WALT DR, SUITE 201Ft Walton Beach, FL 32547-6706
Mailing Address2548 Crescent RdNavarre, FL 32566 · (850) 939-6126 · Fax (850) 939-3802
Phone(850) 862-4377
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 11, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1174521413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · ARNP2598982
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
928 MAR WALT DR, Ft Walton Beach, FL 32547
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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 and accepts Medicare assignment

Rhonda D Clark Crna 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 ID3375525124
PECOS Enrollment IDI20040604000204

Medicare Billing Reassignments

5

Medicare enrollment records show Rhonda Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ams Baptist LLC
35 mi
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1093020216 (866) 653-2540
Ams Of Gulf Breeze LLC
35 mi
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Florida enrollment
  • 177 clinicians in this Medicare group
NPI 1376812032 (866) 653-2540
Sheridan Healthcorp Inc
35 mi
Anesthesiology
4600 N DAVIS HWY
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
NPI 1811664386 (973) 251-1132
Florida Gulf Coast Anesthesia, LLC
35 mi
Anesthesiology
4724 N DAVIS HWY
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1013522325 (850) 696-4000
Nereus Anesthesia
37 mi
Nurse Anesthetist, Certified Registered
2641 WILDHURST TRL
Pace, FL 32571
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1710683412 (850) 291-7641

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

Areas of Expertise CMS Part B claims 8

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.

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
122 services99 patients
Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01940
This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.
99 services88 patients
Anesthesia for nerve block and injection 01991
Anesthesia for nerve block and injection is a procedure used to numb specific areas, reducing or blocking pain signals. A medication is injected near nerves to cause numbness in a particular part of your body. This helps in performing certain medical procedures with minimal discomfort.
22 services19 patients
Anesthesia for nerve block and injection procedure, prone position 01992
Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.
21 services19 patients
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01937
This procedure involves administering anesthesia to numb the neck or upper back area. This helps in carrying out procedures like injection, drainage, or aspiration on the spine or spinal cord. Imaging guidance is used to ensure accurate placement, enhancing safety and effectiveness.
20 services18 patients
Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01939
This procedure involves using anesthesia to numb the area around your spine or spinal cord. The doctor will then use imaging guidance to accurately locate and destroy problematic nerves. This is done through the skin and targets either the neck or upper back area.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
43%35 patients2/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
96%96 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DEBORAH NOETHEN
Physical Therapist
928 MAR WALT DR, SUITE 104
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-4747
DON E MILLER CRNA
Registered Nurse
928 MAR WALT DR, SUITE 201
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-4377
MARDIS H HARRELL CRNA
Registered Nurse
928 MAR WALT DR, SUITE 201
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-4377
MISS ANDREA K LYNCH ATC/L
Specialist/Technologist (Athletic Trainer)
928 MAR WALT DR, SUITE 104
FT WALTON BEACH, FL 32547
Okaloosa County (850) 218-0210
SELINA THERESE MANTANONA PT, DPT
Physical Therapist
928 MAR WALT DR, SUITE #103
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-7580
MARY NEWCOMER
Physical Therapist
928 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (550) 863-4747
FRANCIS C.F. DECROOS MD
Anesthesiology
928 MAR WALT DR, SUITE 201
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-4377
JONI MARQUARDT
Physical Therapist
928 MAR WALT DR, SUITE 104
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-4747

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 Rhonda Clark's NPI number?

The NPI number for Rhonda Clark is 1174521413. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Rhonda Clark located?

Rhonda Clark practices at 928 Mar Walt Dr Suite 201, Ft Walton Beach, FL 32547. The listed phone number is (850) 862-4377.

What is Rhonda Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Rhonda Clark enrolled in Medicare?

Yes. Rhonda 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.

Which organizations bill Medicare for Rhonda Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rhonda Clark reassigns Medicare benefits to 5 organizations: Ams Baptist LLC (Pensacola, FL), Ams Of Gulf Breeze LLC (Pensacola, FL), Sheridan Healthcorp Inc (Pensacola, FL), Florida Gulf Coast Anesthesia, LLC (Pensacola, FL) and Nereus Anesthesia (Pace, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rhonda Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rhonda Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.