AMY BELLOWS CLARK PMHCNS-BC
NPI 1194074567
Clinical Nurse Specialist - Psychiatric/Mental Health in Toledo, OH
About Amy Bellows Clark Pmhcns-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY BELLOWS CLARK PMHCNS-BC (NPI 1194074567) is an individual psychiatric/mental health provider in Toledo, Ohio, licensed in Ohio (APRN.CNS.13737) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Amy Bellows Clark Pmhcns-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amy Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 97 clinicians in this Medicare group
Defiance, OH 43512
- Reassigned Medicare billing, Ohio enrollment
- 136 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Amy Clark's NPI number?
The NPI number for Amy Clark is 1194074567. It was assigned to this individual provider in the NPPES registry on August 31, 2012.
Where is Amy Clark located?
Amy Clark practices at 3909 Woodley Rd, Toledo, OH 43606. The listed phone number is (419) 725-3330.
What is Amy Clark's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.
Is Amy Clark enrolled in Medicare?
Yes. Amy 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.
Which organizations bill Medicare for Amy Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Clark reassigns Medicare benefits to 2 organizations: Harbor (Toledo, OH) and Mercy Medical Partners Northern Region LLC (Defiance, OH). Each 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 Amy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Paramount list Amy 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 Amy Clark was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Amy Bellows Clark, PMHCNS-BC · NPI 1194074567
Psychiatric/Mental Health physician in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since August 31, 2012.
## Identity
- **NPI:** 1194074567 (Entity type: Individual)
- **Enumerated:** August 31, 2012
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health · taxonomy 364SP0808X
- **State license:** APRN.CNS.13737 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3909 WOODLEY RD, Toledo, OH 43606-1169
- **Phone:** (419) 725-3330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Harbor (NPI 1366526782, Toledo, OH); Mercy Medical Partners Northern Region LLC (NPI 1669756532, Defiance, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194074567) · Data from the CMS NPPES public registry.