SARAH LYNN CLARK FNP
NPI 1205446077
Nurse Practitioner - Family in Shakopee, MN

Q: What is Sarah Clark's NPI number?

The NPI number for Sarah Clark is 1205446077. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Q: What is Sarah Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Clark was last updated on March 25, 2024. 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.

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment

4050 DEAN LAKES BLVD, SHAKOPEE, MN 55379(952) 402-9039 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Feb 28, 2023, Dec 8, 2022 and 2 more (5 updates tracked since 2020).

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About Sarah Lynn Clark Fnp NPPES

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

SARAH LYNN CLARK FNP (NPI 1205446077) is an individual family provider in Shakopee, Minnesota, licensed in Minnesota (9669) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205446077

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSARAH LYNN CLARKCredential: FNP

Location Address4050 DEAN LAKES BLVDShakopee, MN 55379-2714

Mailing Address4050 Dean Lakes BlvdShakopee, MN 55379-2714 · (952) 402-9039

Phone(952) 402-9039

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 5, 2020

Last NPPES UpdateMarch 25, 20245 updates tracked since enumeration

NPPES CertifiedMarch 25, 2024

✔ NPI 1205446077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MN · 9669✔ Licensed in CA · 95014762

4050 DEAN LAKES BLVD, Shakopee, MN 55379

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Secondary Practice Locations 2

Location 13941 San Dimas St Ste 101Bakersfield, CA 93301-5711 · Phone (661) 864-7944

Location 28936 Lyndale Ave SBloomington, MN 55420-2742 · Phone (952) 881-0163

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

Sarah Lynn Clark Fnp 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 ID8628434255

PECOS Enrollment IDI20230523003131

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

11 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 5

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

DR. EMMANUEL ODENG-OTU PHARM. D.

Pharmacist