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MS. RACHEL ZIPPORAH CLARK CRNP
NPI 1255728648
Nurse Practitioner - Psychiatric/Mental Health in Salisbury, MD

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment
505 E MAIN ST, SALISBURY, MD 21804(410) 341-3420(410) 341-3397 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2024, Jul 15, 2019 (2 updates tracked since 2019).

About Ms. Rachel Zipporah Clark Crnp NPPES

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

MS. RACHEL ZIPPORAH CLARK CRNP (NPI 1255728648) is an individual psychiatric/mental health provider in Salisbury, Maryland, licensed in Maryland (R165710) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255728648
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. RACHEL ZIPPORAH CLARKCredential: CRNP
Location Address505 E MAIN STSalisbury, MD 21804-5020
Mailing Address505 E Main StSalisbury, MD 21804-5020 · (410) 341-3420 · Fax (410) 341-3397
Phone(410) 341-3420
Fax(410) 341-3397
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 23, 2015
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1255728648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R165710
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R165710 (MD)
505 E MAIN ST, Salisbury, MD 21804
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Other Names 1

Former Name (1)Ms. Rachel Birckhead

Secondary Practice Locations 2

Location 17033 Worcester HwyNewark, MD 21841-2149 · Phone (410) 341-3420 · Fax (410) 341-3397
Location 2431 E Main StSalisbury, MD 21804-5018 · Phone (410) 341-3420 · Fax (410) 341-3397

Other Identifiers 1

OtherR165710MD · License

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

Ms. Rachel Zipporah Clark Crnp 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 ID8325379480
PECOS Enrollment IDI20191004000214
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 Reassignments

4

Medicare enrollment records show Rachel Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthport
Same address
Mental Health (Including Community Mental Health Center)
505 E MAIN ST
Salisbury, MD 21804
  • Reassigned Medicare billing, Maryland enrollment
  • 15 clinicians in this Medicare group
NPI 1154320646 (410) 341-3420
Privia Care Center LLC
84 mi
Internal Medicine
301 SAINT PAUL ST STE 409
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 339 clinicians in this Medicare group
NPI 1730664012 (571) 366-8850
Privia Medical Group, LLC
90 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850
Grow Healthcare Group PA
908 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 6

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.
178 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services35 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services23 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
23 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21804 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers35 claims70 services$4.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims19 services$0.77 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$207.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOHN WRIGHT
Counselor (Mental Health)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
HEALTHPORT
Clinic/Center (Mental Health (Including Community Mental Health Center))
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MR. JED E. DERRICKSON LCSW-C
Social Worker (Clinical)
505 E MAIN ST, Q
SALISBURY, MD 21804
Wicomico County (410) 742-8882
JEANNETTE KATHLEEN BUCHANAN LCSW-C
Social Worker (Clinical)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
TAMARA M DOUGHERTY LCPC
Counselor (Professional)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MS. VICTORIA A VARGAS LCSW-C
Social Worker (Clinical)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MS. PATRICIA LINDEN SCHLOTTMAN LCSW-C
Social Worker (Clinical)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MRS. STACI LYNN BUTLER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420

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 Rachel Clark's NPI number?

The NPI number for Rachel Clark is 1255728648. It was assigned to this individual provider in the NPPES registry on April 23, 2015. The provider is also known as Ms. Rachel Birckhead.

Where is Rachel Clark located?

Rachel Clark practices at 505 E Main St, Salisbury, MD 21804. The listed phone number is (410) 341-3420.

What is Rachel Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rachel Clark enrolled in Medicare?

Yes. Rachel 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 Rachel Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Clark reassigns Medicare benefits to 4 organizations: Healthport (Salisbury, MD), Privia Care Center LLC (Baltimore, MD), Privia Medical Group, LLC (Arlington, VA) and Grow Healthcare Group PA (Miami, FL). 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 Rachel Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rachel Clark affiliated with any hospitals?

According to CMS data, Rachel Clark is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Rachel Clark was last updated on March 4, 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.