MISS CHASITY CLARK PA
NPI 1205385655
Physician Assistant in Centreville, AL

NPI Status: Active since September 27, 2016

Contact Information

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-2992
Fax: (205) 316-7675

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  • Individual
  • Female
  • Years of Experience 10
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About CHASITY CLARK

This page provides the complete NPI Profile along with additional information for Chasity Clark, a primary care provider established in Centreville, Alabama with a medical specialization in Physician Assistant and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1205385655 assigned on September 2016. The practitioner's primary taxonomy code is 363A00000X with license number PA.1165 (AL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1205385655
Provider Name
MISS CHASITY CLARK PA
Other Name
CHASITY GIBSON CRNP
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
405 BELCHER ST CENTREVILLE, AL 35042
Location Phone
(205) 926-2992
Location Fax
(205) 316-7675
Mailing Address
405 BELCHER ST CENTREVILLE, AL 35042
Mailing Phone
(205) 926-2992
Mailing Fax
(205) 316-7675
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
09-27-2016
Last Update Date
11-27-2023
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A primary care provider (PCP) like Chasity Clark sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA.1165
License State
AL
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Chasity Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Chasity Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860774502

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170112003477

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.47 for a new patient copayment and $16.52 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 35042 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.9
  • Minimum New Patient Price $52.65
  • Maximum New Patient Price $161.63
  • Average New Patient Copayment $20.47
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.4

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.08
  • Minimum Established Patient Price $16.56
  • Maximum Established Patient Price $131.65
  • Average Established Patient Copayment $16.52
  • Minimum Established Patient Copayment $4.14
  • Maximum Established Patient Copayment $32.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 82% 102
Diabetes: Eye Exam 45% 168
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 22% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
168
Diabetes: Medical Attention for Nephropathy 96% 168
e-Prescribing 89% 1818
Falls: Screening for Future Fall Risk 86% 69
Preventive Care and Screening: Influenza Immunization 43% 531
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 32% 681
Provide Patients Electronic Access to Their Health Information 87% 360

Reviews for MISS CHASITY CLARK PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205385655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22056810610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 8 + 1 + 0 + 6 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1205385655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. NICHOLE SHARP PRITCHETT RN, MSN, NP-C

Nurse Practitioner

(Family)

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

MRS. KACIE E WOOD NP-C

Nurse Practitioner

(Family)

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

MRS. SUZANNE VENTRESS TOMPKINS PA-C

Physician Assistant

(Medical)

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

MR. JOSHUA ELLEDGE CRNP

Nurse Practitioner

(Family)

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

CAHABA MEDICAL CARE FOUNDATION

Clinic/Center

(Federally Qualified Health Center (FQHC))

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

STEPHANIE SAVAGE CRNP

Nurse Practitioner

(Family)

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

KAYLEE LAURA PERKINS PA

Physician Assistant

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

KATHRYN CLAIRE AHALT FNP-C

Nurse Practitioner

(Family)

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

DR. JOHN BRYAN WAITS M.D.

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

LACY MICHELLE SMITH MD

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

DR. ADAM ROBERT ROSS M.D.

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

DAKOTA PRICE MD

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

AUSTIN KLINT M.D.

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

JEREMY CRIDER M.D.

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

JAMIE BISHOP

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 316-7690

ANDRIA EVE KNIGHTEN

Nurse Practitioner

(Family)

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

JULIA TODD DO

Student in an Organized Health Care Education/Training Program

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

JONATHAN PETERS MD

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

NICHOLAS DARBY

Family Medicine

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

TAMEKA LAVENDER-HYCHE LICSW, PIP

Social Worker

(Clinical)

405 BELCHER ST
CENTREVILLE, AL
ZIP 35042

(205) 926-2992

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205385655, enumerated as an "individual" on September 27, 2016.

The provider is located at 405 BELCHER ST CENTREVILLE, AL 35042 and the phone number is (205) 926-2992.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.