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JEANETTE MARIE CLARK APRN
NPI 1265315154
Nurse Practitioner - Adult Health in Phoenix, AZ

Active since July 28, 2025PECOS Enrolled
3811 E BELL RD STE 111, PHOENIX, AZ 85032(208) 270-2178 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2026, Jan 14, 2026 (2 updates tracked since 2026).

About Jeanette Marie Clark Aprn NPPES

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

JEANETTE MARIE CLARK APRN (NPI 1265315154) is an individual adult health provider in Phoenix, Arizona, licensed in Arizona (334234) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265315154
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJEANETTE MARIE CLARKCredential: APRN
Location Address3811 E BELL RD STE 111Phoenix, AZ 85032-2158
Mailing Address24611 N 144th AveSurprise, AZ 85387-7033 · (208) 270-2178
Phone(208) 270-2178
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 28, 2025
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1265315154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AZ · 334234
3811 E BELL RD STE 111, Phoenix, AZ 85032
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1951884535
PECOS Enrollment IDI20260311003821
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

2

Medicare enrollment records show Jeanette Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain And Palliative Associates Of Arizona
Same address
Pain Medicine
3811 E BELL RD STE 111
Phoenix, AZ 85032
  • Reassigned Medicare billing, Arizona enrollment
  • 71 clinicians in this Medicare group
NPI 1538723531 (602) 675-2585
Rajiv Siddaramu MD PLLC
8.0 mi
Hospice and Palliative Medicine
9700 N 91ST ST STE A115
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 9 clinicians in this Medicare group
NPI 1467849422 (602) 753-8120

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 85032 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 7

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

VALLEY GERIATRIC ASSOCIATES PLLC
Family Medicine (Geriatric Medicine)
3811 E BELL RD STE 111
PHOENIX, AZ 85032
Maricopa County (480) 716-6318
AMANDA SUE NANCE FNP-C
Nurse Practitioner (Family)
3811 E BELL RD STE 111
PHOENIX, AZ 85032
Maricopa County (602) 675-2585
LEANNE J MUNIZ APN
Nurse Practitioner (Family)
3811 E BELL RD STE 111
PHOENIX, AZ 85032
Maricopa County (480) 985-1093
YOLANDA ANN SMITH FNP-C
Nurse Practitioner (Family)
3811 E BELL RD STE 111
PHOENIX, AZ 85032
Maricopa County (480) 985-1093
PAIN AND PALLIATIVE ASSOCIATES OF ARIZONA
Pain Medicine (Pain Medicine)
3811 E BELL RD STE 111
PHOENIX, AZ 85032
Maricopa County (602) 675-2585
KHOA PHAM
Nurse Practitioner (Family)
3811 E BELL RD STE 111
PHOENIX, AZ 85032
Maricopa County (480) 985-1093
DR. JAY BABUBHAI PATEL M.D.
Internal Medicine (Hospice and Palliative Medicine)
3811 E BELL RD STE 111
PHOENIX, AZ 85032
Maricopa County (602) 675-2585

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 Jeanette Clark's NPI number?

The NPI number for Jeanette Clark is 1265315154. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Jeanette Clark located?

Jeanette Clark practices at 3811 E Bell Rd Ste 111, Phoenix, AZ 85032. The listed phone number is (208) 270-2178.

What is Jeanette Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jeanette Clark enrolled in Medicare?

Yes. Jeanette Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeanette Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Clark reassigns Medicare benefits to 2 organizations: Pain And Palliative Associates Of Arizona (Phoenix, AZ) and Rajiv Siddaramu MD PLLC (Scottsdale, AZ). 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 Jeanette Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanette Clark accept?

Health plans from Blue Cross Blue Shield of Arizona list Jeanette 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 Jeanette Clark was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.