Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Q: 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.

Q: What is Rhonda Clark's specialty?

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

Q: 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 22 days 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 July 11, 2005

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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

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

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.

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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.

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 22 days 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.