GINA CLARK
NPI 1225843766
Nurse Practitioner - Family in Fort Carson, CO
About Gina Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA CLARK (NPI 1225843766) is an individual family provider in Fort Carson, Colorado, licensed in Colorado (F02250032) and active in the NPI registry since February 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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)
Gina Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gina Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80907
- Reassigned Medicare billing, Colorado enrollment
- 93 clinicians in this Medicare group
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 80913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT CARSON, CO 80913
FORT CARSON, CO 80913
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 Gina Clark's NPI number?
The NPI number for Gina Clark is 1225843766. It was assigned to this individual provider in the NPPES registry on February 11, 2025.
Where is Gina Clark located?
Gina Clark practices at 1650 Cochrane Cir, Fort Carson, CO 80913. The listed phone number is (719) 524-0016.
What is Gina Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gina Clark enrolled in Medicare?
Yes. Gina Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gina Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Clark reassigns Medicare benefits to Peak Gastroenterology Associates (Colorado Springs, CO). 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 Gina Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gina Clark accept?
Health plans from Select Health list Gina 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 Gina Clark was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Gina Clark · NPI 1225843766
Family physician in Fort Carson, Colorado. Individual provider, active in the CMS NPPES registry since February 11, 2025.
## Identity
- **NPI:** 1225843766 (Entity type: Individual)
- **Enumerated:** February 11, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F02250032 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1650 COCHRANE CIR, Fort Carson, CO 80913-4613
- **Phone:** (719) 524-0016
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peak Gastroenterology Associates (NPI 1023112117, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225843766) · Data from the CMS NPPES public registry.