AMY BELLOWS CLARK PMHCNS-BC
NPI 1194074567
Clinical Nurse Specialist - Psychiatric/Mental Health in Toledo, OH

Q: 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.

Q: 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.

Q: 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 15 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 August 31, 2012PECOS EnrolledAccepts Medicare Assignment

3909 WOODLEY RD, TOLEDO, OH 43606(419) 725-3330 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1194074567

Entity TypeIndividualFemale

Primary Taxonomy364SP0808X

Provider Legal NameAMY BELLOWS CLARKCredential: PMHCNS-BC

Location Address3909 WOODLEY RDToledo, OH 43606-1169

Mailing Address3909 Woodley RdToledo, OH 43606-1169 · (419) 475-4449

Phone(419) 725-3330

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 31, 2012

Last NPPES UpdateMay 8, 2025

NPPES CertifiedMay 8, 2025

✔ NPI 1194074567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

License✔ Licensed in OH · APRN.CNS.13737

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License RN.205761-COA1 (OH)

3909 WOODLEY RD, Toledo, OH 43606

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community and more.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

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.

PECOS PAC ID5395996516

PECOS Enrollment IDI20121117000071

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services23 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

27 services16 patients

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.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

KELLY A GARZA LSW, LCDCIII-GAMB

Social Worker

3909 WOODLEY RD
TOLEDO, OH 43606

Lucas County (419) 725-3330

DONNA LAVETTE JOHNSON BSW, LSW

Social Worker (Clinical)

3909 WOODLEY RD
TOLEDO, OH 43606

Lucas County (419) 475-4449

CONSTANTINE MODGLIN

Case Manager/Care Coordinator

3909 WOODLEY RD
TOLEDO, OH 43606

Lucas County (419) 725-3330

PROMEDICA CENTRAL PHYSICIANS

Surgery

3909 WOODLEY RD, SUITE 200
TOLEDO, OH 43606

Lucas County (419) 291-6777

KORTNEY WARD

Counselor (Professional)

3909 WOODLEY RD
TOLEDO, OH 43606

Lucas County (419) 725-3330

NICHOLAS E MUESER

Social Worker (Clinical)

3909 WOODLEY RD
TOLEDO, OH 43606

Lucas County (419) 725-3330

ALEAH GALLEGOS

Nurse Practitioner (Psychiatric/Mental Health)

3909 WOODLEY RD
TOLEDO, OH 43606

Lucas County (419) 725-3330

TRACEY GULLETT

Case Manager/Care Coordinator

3909 WOODLEY RD
TOLEDO, OH 43606

Lucas County (419) 725-3330

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.

What insurance does Amy Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community and MedMutual 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 15 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.