TERESA A CLARK APRN
NPI 1235585563
Nurse Practitioner - Family in Jonesboro, AR

Q: What is Teresa Clark's NPI number?

The NPI number for Teresa Clark is 1235585563. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Q: What is Teresa 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 Teresa Clark was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 05, 2016PECOS Enrolled

4800 E JOHNSON AVE, JONESBORO, AR 72401(870) 936-1000(870) 936-5057 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Teresa A Clark Aprn NPPES

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

TERESA A CLARK APRN (NPI 1235585563) is an individual family provider in Jonesboro, Arkansas, licensed in Arkansas (A004707) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235585563

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESA A CLARKCredential: APRN

Location Address4800 E JOHNSON AVEJonesboro, AR 72401-8413

Mailing AddressPo Box 1960Jonesboro, AR 72403-1960 · (870) 936-1000 · Fax (870) 936-5057

Phone(870) 936-1000

Fax(870) 936-5057

Sole ProprietorNo

Enumeration DateMay 5, 2016

✔ NPI 1235585563 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

License✔ Licensed in AR · A004707

4800 E JOHNSON AVE, Jonesboro, AR 72401

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa A Clark Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Arkansas Clinic Charitable Foundation, Inc.

Same address

Multi-Specialty

4802 E JOHNSON AVE
Jonesboro, AR 72401

Reassigned Medicare billing, Arkansas enrollment
439 clinicians in this Medicare group

NPI 1861721839 (870) 936-8000

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 72401 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 20

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

ANA MILOSEVIC MICHUNOVICH D.O.

Physical Medicine & Rehabilitation