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BRANDI CLARK CRNP
NPI 1194402172
Nurse Practitioner in Altoona, PA

Active since June 30, 2023PECOS Enrolled
914 S 12TH ST, ALTOONA, PA 16602(814) 201-2309(814) 201-2389 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandi Clark Crnp NPPES

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

BRANDI CLARK CRNP (NPI 1194402172) is an individual nurse practitioner in Altoona, Pennsylvania, licensed in Pennsylvania (SP027557) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194402172
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRANDI CLARKCredential: CRNP
Location Address914 S 12TH STAltoona, PA 16602-6247
Mailing Address914 S 12th StAltoona, PA 16602-6247 · (814) 201-2309 · Fax (814) 201-2389
Phone(814) 201-2309
Fax(814) 201-2389
Sole ProprietorNo
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1194402172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP027557
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.
914 S 12TH ST, Altoona, PA 16602
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandi Clark Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 16602 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 9

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

DR. JACOB CARMICHAEL DPM
Podiatrist
914 S 12TH ST
ALTOONA, PA 16602
Blair County (814) 201-2309
CENTRAL PA PRIMARY CARELLC
Physician Assistant (Medical)
914 S 12TH ST
ALTOONA, PA 16602
Blair County (814) 201-2309
CENTRAL PA SURGERY CENTER LLC
Surgery
914 S 12TH ST
ALTOONA, PA 16602
Blair County (814) 201-2309
MICHELLE DUNIO CRNP
Nurse Practitioner (Adult Health)
914 S 12TH ST
ALTOONA, PA 16602
Blair County (814) 201-2309
HAYDEN KNEE PA-C
Physician Assistant
914 S 12TH ST
ALTOONA, PA 16602
Blair County (814) 201-2309
MRS. JOANNA L BLATTENBERGER APRN
Nurse Practitioner (Family)
914 S 12TH ST
ALTOONA, PA 16602
Blair County (814) 201-2309
CENTRAL PA PODIATRY LLC
Podiatrist
914 S 12TH ST
ALTOONA, PA 16602
Blair County (814) 201-2309
KIRTAN CHOKSHI DPM
Podiatrist (Foot & Ankle Surgery)
914 S 12TH ST
ALTOONA, PA 16602
Blair County (814) 201-2309

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 Brandi Clark's NPI number?

The NPI number for Brandi Clark is 1194402172. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Brandi Clark located?

Brandi Clark practices at 914 S 12th St, Altoona, PA 16602. The listed phone number is (814) 201-2309.

What is Brandi Clark's specialty?

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

Is Brandi Clark enrolled in Medicare?

Yes. Brandi Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandi Clark was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.