THOMAS BENNETT CLARK JR. CRNA
NPI 1245301894
Nurse Anesthetist, Certified Registered in Seattle, WA
About Thomas Bennett Clark Jr. Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS BENNETT CLARK JR. CRNA (NPI 1245301894) is an individual nurse anesthetist, certified registered in Seattle, Washington, licensed in Washington (AP60093669) and active in the NPI registry since November 2006. He maintains a secondary practice location in Tacoma and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Thomas Bennett Clark Jr. Crna 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.
Medicare Billing Reassignments
4Medicare enrollment records show Thomas Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Federal Way, WA 98003
- Reassigned Medicare billing, Washington enrollment
- 148 clinicians in this Medicare group
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 3 clinicians in this Medicare group
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 59 clinicians in this Medicare group
Yakima, WA 98902
- Reassigned Medicare billing, Washington enrollment
- 565 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98195 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.
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
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 Thomas Clark's NPI number?
The NPI number for Thomas Clark is 1245301894. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Thomas Clark located?
Thomas Clark practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 520-5000.
What is Thomas Clark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Thomas Clark enrolled in Medicare?
Yes. Thomas 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.
Which organizations bill Medicare for Thomas Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Clark reassigns Medicare benefits to 4 organizations: Washington Gastroenterology PLLC (Federal Way, WA), Narrows Surgery Center Ps (Tacoma, WA), Gastroenterology Associates Clinical Practice, PLLC (Olympia, WA) and Yakima Valley Memorial Physicians (Yakima, WA). Each 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 Thomas Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Thomas Clark was last updated on August 15, 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.
# Thomas Bennett Clark Jr., CRNA · NPI 1245301894
Nurse Anesthetist, Certified Registered physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1245301894 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP60093669 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1959 NE PACIFIC ST, Seattle, WA 98195-0001
- **Phone:** (206) 520-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Washington Gastroenterology PLLC (NPI 1245265826, Federal Way, WA); Narrows Surgery Center Ps (NPI 1093449225, Tacoma, WA); Gastroenterology Associates Clinical Practice, PLLC (NPI 1811556442, Olympia, WA); Yakima Valley Memorial Physicians (NPI 1306933940, Yakima, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** August 15, 2024
- **Other identifiers:** Medicaid 2010101 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1245301894) · Data from the CMS NPPES public registry.