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MRS. AMANDA LYNNE CLARK CNP
NPI 1174769210
Nurse Practitioner - Neonatal, Critical Care in Columbus, OH

Active since December 19, 2008PECOS Enrolled
700 CHILDRENS DR, NICU, COLUMBUS, OH 43205(614) 722-6510(614) 722-4772 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Amanda Lynne Clark Cnp NPPES

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

MRS. AMANDA LYNNE CLARK CNP (NPI 1174769210) is an individual neonatal, critical care provider in Columbus, Ohio, licensed in Ohio (317077) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Delaware, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174769210
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameMRS. AMANDA LYNNE CLARKCredential: CNP
Location Address700 CHILDRENS DR, NICUColumbus, OH 43205-2664
Mailing Address700 Childrens Dr, NicuColumbus, OH 43205-2664 · (614) 722-6510 · Fax (614) 722-4772
Phone(614) 722-6510
Fax(614) 722-4772
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 19, 2008
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1174769210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in OH · 317077
700 CHILDRENS DR, Columbus, OH 43205
Open in Google Maps ↗

Secondary Practice Location 1

Location 1561 W Central AveDelaware, OH 43015-1410 · Phone (740) 615-2077 · Fax (740) 615-2083

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda Lynne Clark Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678061470
PECOS Enrollment IDI20251023001209
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 Amanda Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohiohealth Corporation
0.9 mi
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808

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 43205 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

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

BELA M GANDHI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-8212
AMRIK SINGH KHALSA M.D.
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
DR. ROBERT MICHAEL DORMAN M.D.
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Franklin County (614) 722-0449
MR. CHRISTOPHER JONES MD
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
LEANNE MURRAY PHARMD
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2160
CLAIRE ELIZABETH CHRISTIAN M.D.
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
MEGAN MCNICOL
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2160
MARIA STRENG
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000

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 Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1174769210. It was assigned to this individual provider in the NPPES registry on December 19, 2008.

Where is Amanda Clark located?

Amanda Clark practices at 700 Childrens Dr Nicu, Columbus, OH 43205. The listed phone number is (614) 722-6510.

What is Amanda Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Amanda Clark enrolled in Medicare?

Yes. Amanda Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Clark reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). The 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 Amanda Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Clark accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Amanda Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.