DR. AMY JO CLARK APNP
NPI 1265969356
Nurse Practitioner - Family in Sheboygan, WI

Q: What is Amy Clark's NPI number?

The NPI number for Amy Clark is 1265969356. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Q: What is Amy 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 Amy Clark was last updated on December 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.

Active since May 19, 2017PECOS EnrolledAccepts Medicare Assignment

1621 N TAYLOR DR STE 100, SHEBOYGAN, WI 53081(920) 452-1650(920) 452-3594 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2021, Aug 8, 2017, Jul 31, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Amy Jo Clark Apnp NPPES

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

DR. AMY JO CLARK APNP (NPI 1265969356) is an individual family provider in Sheboygan, Wisconsin, licensed in Wisconsin (7806-33) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265969356

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. AMY JO CLARKCredential: APNP

Location Address1621 N TAYLOR DR STE 100Sheboygan, WI 53081-1993

Mailing Address1621 N Taylor Dr Ste 100Sheboygan, WI 53081-1993 · (920) 452-1650

Phone(920) 452-1650

Fax(920) 452-3594

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 19, 2017

Last NPPES UpdateDecember 30, 20214 updates tracked since enumeration

NPPES CertifiedDecember 29, 2021

✔ NPI 1265969356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 7806-33

Also ListedRegistered NurseTaxonomy 163W00000X · License 161099-30 (WI)

1621 N TAYLOR DR STE 100, Sheboygan, WI 53081

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Quartz.Insurance ›

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

Dr. Amy Jo Clark Apnp 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 ID3779857552

PECOS Enrollment IDI20170918001049

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.

Areas of Expertise CMS Part B claims 2

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 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.

17 services16 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520044

Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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 Amy Clark's NPI number?

The NPI number for Amy Clark is 1265969356. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Amy Clark located?

Amy Clark practices at 1621 N Taylor Dr Ste 100, Sheboygan, WI 53081. The listed phone number is (920) 452-1650.

What is Amy Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Clark enrolled in Medicare?

Yes. Amy 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.

What insurance does Amy Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Quartz list Amy 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.

Is Amy Clark affiliated with any hospitals?

According to CMS data, Amy Clark is affiliated with St Nicholas Hospital.

When was this NPI record last updated?

The NPPES record for Amy Clark was last updated on December 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.