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WILLIAM CLARK
NPI 1184362659
Physician Assistant - Medical in Prescott, AZ

Active since May 24, 2022PECOS Enrolled
1042 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 379-0838 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2023, May 24, 2022 (2 updates tracked since 2022).

About William Clark NPPES

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

WILLIAM CLARK (NPI 1184362659) is an individual medical provider in Prescott, Arizona, licensed in Arizona (9297) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184362659
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWILLIAM CLARK
Location Address1042 WILLOW CREEK RDPrescott, AZ 86301-1673
Mailing Address1042 Willow Creek RdPrescott, AZ 86301-1673 · (928) 379-0838
Phone(928) 379-0838
Sole ProprietorYes
Enumeration DateMay 24, 2022
Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1184362659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 9297
1042 WILLOW CREEK RD, Prescott, AZ 86301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Clark 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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
130 services129 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
54 services54 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
51 services50 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
42 services42 patients
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm 12002
This is a procedure to mend a surface wound measuring between 2.6-7.5 cm on your scalp, neck, underarms, trunk, arms, or legs. It involves cleaning, closing and dressing the wound to promote healing and prevent infection.
12 services12 patients

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 William Clark's NPI number?

The NPI number for William Clark is 1184362659. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is William Clark located?

William Clark practices at 1042 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 379-0838.

What is William Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is William Clark enrolled in Medicare?

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

What insurance does William Clark accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list William 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 William Clark was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.