DR. ASHLEY NICOLE CLARK DDS
NPI 1215225305
Dentist - Oral and Maxillofacial Pathology in Indianapolis, IN
About Dr. Ashley Nicole Clark Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ASHLEY NICOLE CLARK DDS (NPI 1215225305) is an individual oral and maxillofacial pathology provider in Indianapolis, Indiana, licensed in Indiana (12011677A) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ashley Nicole Clark Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ashley Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46260
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 Ashley Clark's NPI number?
The NPI number for Ashley Clark is 1215225305. It was assigned to this individual provider in the NPPES registry on July 11, 2011.
Where is Ashley Clark located?
Ashley Clark practices at 9292 N Meridian St Ste 210, Indianapolis, IN 46260. The listed phone number is (317) 843-2204.
What is Ashley Clark's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.
Is Ashley Clark enrolled in Medicare?
Yes. Ashley Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ashley Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Clark reassigns Medicare benefits to Cutaneous And Maxillofacial Pathology Laboratory, PC (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashley Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ashley 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 Ashley Clark was last updated on April 12, 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.
# Dr. Ashley Nicole Clark, DDS · NPI 1215225305
Oral and Maxillofacial Pathology provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since July 11, 2011.
## Identity
- **NPI:** 1215225305 (Entity type: Individual)
- **Enumerated:** July 11, 2011
- **Primary specialty:** Dentist - Oral and Maxillofacial Pathology · taxonomy 1223P0106X
- **State license:** 12011677A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 9292 N MERIDIAN ST STE 210, Indianapolis, IN 46260-1828
- **Phone:** (317) 843-2204
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Cutaneous And Maxillofacial Pathology Laboratory, PC (NPI 1386717940, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215225305) · Data from the CMS NPPES public registry.