MELINDA CLARKE MS, RN, FNP, PMHNP
NPI 1184999344
Nurse Practitioner in Bohemia, NY

Q: What is Melinda Clarke's NPI number?

The NPI number for Melinda Clarke is 1184999344. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Q: What is Melinda Clarke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melinda Clarke was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since March 20, 2012PECOS Enrolled

85.89/100

CMS Quality Rating

80 ORVILLE DR STE 100, BOHEMIA, NY 11716(631) 500-5925(631) 500-5979 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2020, Jul 15, 2019 (2 updates tracked since 2019).

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About Melinda Clarke Ms, Rn, Fnp, Pmhnp NPPES

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

MELINDA CLARKE MS, RN, FNP, PMHNP (NPI 1184999344) is an individual nurse practitioner in Bohemia, New York, licensed in New York (344753) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Setauket, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2019).

NPPES Registry Identity

NPI1184999344

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELINDA CLARKECredential: MS, RN, FNP, PMHNP

Location Address80 ORVILLE DR STE 100Bohemia, NY 11716-2505

Mailing Address80 Orville Dr Ste 100Bohemia, NY 11716-2505 · (631) 500-5925 · Fax (631) 500-5979

Phone(631) 500-5925

Fax(631) 500-5979

Sole ProprietorYes

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2019

Enumeration DateMarch 20, 2012

Last NPPES UpdateOctober 18, 20242 updates tracked since enumeration

NPPES CertifiedOctober 18, 2024

✔ NPI 1184999344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 344753

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 687063 (NY)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 344753 (NY)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 405889 (NY)

80 ORVILLE DR STE 100, Bohemia, NY 11716

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Secondary Practice Location 1

Location 146 Route 25A Ste 1Setauket, NY 11733-2806 · Phone (631) 500-5925 · Fax (631) 500-5979

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melinda Clarke Ms, Rn, Fnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214347210

PECOS Enrollment IDI20201103001135

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11716 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

85.89/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

52.98

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Other Providers at the Same Location NPPES 17

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

HEALTH NEXUS INC

Durable Medical Equipment & Medical Supplies