RYAN MATHEW CLARK CRNA - NPI 1184903460 - Anesthesiologist Assistant in Bolivar, MO

Q: What is Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1184903460. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

On this page

About Ryan Mathew Clark Crna NPPES

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

RYAN MATHEW CLARK CRNA (NPI 1184903460) is an individual anesthesiologist assistant in Bolivar, Missouri, licensed in Missouri (2011022952) and active in the NPI registry since August 2011. He is affiliated with Citizens Memorial Hospital and is a graduate of Other (2011).

NPPES Registry Identity

NPI1184903460

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameRYAN MATHEW CLARKCredential: CRNA

Location Address1500 N OAKLANDBolivar, MO 65613-3099

Mailing Address1500 N OaklandBolivar, MO 65613-3099 · (417) 328-7705

Phone(417) 328-7705

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 4, 2011

✔ NPI 1184903460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in MO · 2011022952

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1500 N OAKLAND, Bolivar, MO 65613

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Ryan Mathew 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 ID648442566

PECOS Enrollment IDI20111018000606

Areas of Expertise CMS Part B claims

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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260195

Location1500 N OaklandBolivar, MO 65613 · Polk County

Emergency services Birthing friendly

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.

95.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.31

Promoting Interoperability

Improvement Activities

Cost

86.69

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 Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1184903460. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Ryan Clark located?

Ryan Clark practices at 1500 N Oakland, Bolivar, MO 65613. The listed phone number is (417) 328-7705.

What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Ryan Clark enrolled in Medicare?

Yes. Ryan 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.

What insurance does Ryan Clark accept?

Health plans from Medica list Ryan 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.

Is Ryan Clark affiliated with any hospitals?

According to CMS data, Ryan Clark is affiliated with Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.