ELIZABETH CLARK
NPI 1184710345
Nurse Anesthetist, Certified Registered in Jackson, MS

Q: What is Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1184710345. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Elizabeth 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 Elizabeth Clark was last updated on December 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

2500 N STATE ST, PFS, JACKSON, MS 39216(601) 984-4619 Get Directions Write a Review

NPPES record last updated: December 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Elizabeth Clark NPPES

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

ELIZABETH CLARK (NPI 1184710345) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (R576255) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center-leake, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1184710345

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameELIZABETH CLARK

Location Address2500 N STATE ST, PFSJackson, MS 39216-4500

Mailing Address2500 N State St, PfsJackson, MS 39216-4500 · (601) 984-4619

Phone(601) 984-4619

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateOctober 5, 2006

Last NPPES UpdateDecember 17, 2010

✔ NPI 1184710345 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 MS · R576255

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.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 1

Medicare PIN430001233MS

Accepted Insurance

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

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

Elizabeth Clark 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 ID8022190313

PECOS Enrollment IDI20080125000087

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 Reassignments

Medicare enrollment records show Elizabeth Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastrointestinal Associates, P.A.

3.3 mi

Gastroenterology

2510 LAKELAND DR
Flowood, MS 39232

Reassigned Medicare billing, Mississippi enrollment
Medicare enrollment name: Gastrointestinal Associates PA
109 clinicians in this Medicare group

NPI 1093765604 (601) 355-1234

Sweet Dreams Anesthesia, PLLC

87 mi

Nurse Anesthetist, Certified Registered

1001 14TH ST
Meridian, MS 39301

Reassigned Medicare billing, Mississippi enrollment
35 clinicians in this Medicare group

NPI 1427667724 (601) 482-9224

Willow Anesthesia Services LLC

145 mi

Nurse Anesthetist, Certified Registered

2704 W OXFORD LOOP, SUITE 117
Oxford, MS 38655

Reassigned Medicare billing, Mississippi enrollment
122 clinicians in this Medicare group

NPI 1205169521 (662) 550-4299

Lifelinc Anesthesia, PLLC

189 mi

Anesthesiology

3340 PLAYERS CLUB PKWY STE 350
Memphis, TN 38125

Reassigned Medicare billing, Mississippi enrollment
284 clinicians in this Medicare group

NPI 1801021464 (901) 207-2017

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 3

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 other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

16 services16 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.

15 services15 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center-Leake

Critical Access Hospitals · Carthage, MS

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number251315

Location1100 Highway 16 East/Po Box 909Carthage, MS 39051 · Leake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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…

100%32 patients5/55-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 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)