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

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
405 BELCHER ST, CENTREVILLE, AL 35042(205) 926-2992(205) 316-7675 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 26, 2019, Sep 27, 2016 (2 updates tracked since 2016).

About Miss Chasity Clark Pa NPPES

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

MISS CHASITY CLARK PA (NPI 1205385655) is an individual physician assistant in Centreville, Alabama, licensed in Alabama (PA.1165) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205385655
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS CHASITY CLARKCredential: PA
Location Address405 BELCHER STCentreville, AL 35042-2946
Mailing Address405 Belcher StCentreville, AL 35042-2946 · (205) 926-2992 · Fax (205) 316-7675
Phone(205) 926-2992
Fax(205) 316-7675
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2016
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
✔ NPI 1205385655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AL · PA.1165
Definition
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.
405 BELCHER ST, Centreville, AL 35042
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Other Names 1

Former Name (1)Chasity Gibson Crnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Miss Chasity Clark Pa 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 ID2860774502
PECOS Enrollment IDI20170112003477
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 35042 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

Reported Quality Measures

Breast Cancer Screening
82%120 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
68%272 patients4/55-star benchmark: 88%
Diabetes: Eye Exam
40%191 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%191 patients4/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
81%79 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%635 patients3/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$184.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAMIE BISHOP
Family Medicine
405 BELCHER ST
CENTREVILLE, AL 35042
Bibb County (205) 316-7690
MELISSA SAGANICH DO
Student in an Organized Health Care Education/Training Program
405 BELCHER ST
CENTREVILLE, AL 35042
Bibb County (205) 926-2992
KIMBERLY LAWAYNE JOHNSON RN
Nurse Practitioner (Family)
405 BELCHER ST
CENTREVILLE, AL 35042
Bibb County (205) 926-2992
MEREDITH SCHUCKERT FOWLER
Student in an Organized Health Care Education/Training Program
405 BELCHER ST
CENTREVILLE, AL 35042
Bibb County (205) 239-5021
KEITH DO MD
Family Medicine
405 BELCHER ST
CENTREVILLE, AL 35042
Bibb County (205) 926-2992
THOMAS STEWART GWIN MD
Student in an Organized Health Care Education/Training Program
405 BELCHER ST
CENTREVILLE, AL 35042
Bibb County (205) 926-2992
HANNAH SIMPSON CRNP
Nurse Practitioner
405 BELCHER ST
CENTREVILLE, AL 35042
Bibb County (205) 926-2992
STEPHANIE WARD CRNP
Nurse Practitioner (Family)
405 BELCHER ST
CENTREVILLE, AL 35042
Bibb County (205) 926-2992

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 Chasity Clark's NPI number?

The NPI number for Chasity Clark is 1205385655. It was assigned to this individual provider in the NPPES registry on September 27, 2016. The provider is also known as Chasity Gibson Crnp.

Where is Chasity Clark located?

Chasity Clark practices at 405 Belcher St, Centreville, AL 35042. The listed phone number is (205) 926-2992.

What is Chasity Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chasity Clark enrolled in Medicare?

Yes. Chasity 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 Chasity Clark accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Chasity 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 Chasity Clark was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.