LEA L CLARK
NPI 1255910386
Nurse Practitioner - Family in Yates City, IL
About Lea L Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEA L CLARK (NPI 1255910386) is an individual family provider in Yates City, Illinois, licensed in Illinois (209021458) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lea L Clark 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Galesburg, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILOsf Holy Family Medical Center
Critical Access Hospitals · Monmouth, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61572 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lea Clark's NPI number?
The NPI number for Lea Clark is 1255910386. It was assigned to this individual provider in the NPPES registry on April 6, 2021.
Where is Lea Clark located?
Lea Clark practices at 717 Knox County Highway 18, Yates City, IL 61572. The listed phone number is (309) 264-2457.
What is Lea Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lea Clark enrolled in Medicare?
Yes. Lea 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.
Is Lea Clark affiliated with any hospitals?
According to CMS data, Lea Clark is affiliated with St Mary Medical Center, Saint Francis Medical Center and Osf Holy Family Medical Center.
When was this NPI record last updated?
The NPPES record for Lea Clark was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lea L Clark · NPI 1255910386
Family physician in Yates City, Illinois. Individual provider, active in the CMS NPPES registry since April 6, 2021.
## Identity
- **NPI:** 1255910386 (Entity type: Individual)
- **Enumerated:** April 6, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209021458 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 717 KNOX COUNTY HIGHWAY 18, Yates City, IL 61572
- **Phone:** (309) 264-2457
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255910386) · Data from the CMS NPPES public registry.