STEPHANIE LYNN CLARK M.D.
NPI 1275707358
Pediatrics - Pediatric Nephrology in Philadelphia, PA
About Stephanie Lynn Clark M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE LYNN CLARK M.D. (NPI 1275707358) is an individual pediatric nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT201541) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Lynn Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Childrens Health Care Associates Inc
- 1,225 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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Stephanie Clark's NPI number?
The NPI number for Stephanie Clark is 1275707358. It was assigned to this individual provider in the NPPES registry on April 18, 2008. The provider is also known as Stephanie Lynn Tessing M.D..
Where is Stephanie Clark located?
Stephanie Clark practices at 34th & Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-2449.
What is Stephanie Clark's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Stephanie Clark enrolled in Medicare?
Yes. Stephanie Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Clark reassigns Medicare benefits to Children's Health Care Associates (Philadelphia, PA). The 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 Stephanie 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 Stephanie Clark was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Stephanie Lynn Clark, M.D. · NPI 1275707358
Pediatric Nephrology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 18, 2008.
## Identity
- **NPI:** 1275707358 (Entity type: Individual)
- **Enumerated:** April 18, 2008
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **State license:** MT201541 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 34TH & CIVIC CENTER BLVD, Philadelphia, PA 19104
- **Phone:** (215) 590-2449
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Health Care Associates (NPI 1619062668, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1275707358) · Data from the CMS NPPES public registry.