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AMY WILSON CLARK NP
NPI 1285704544
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
1718 E 4TH ST, SUITE 601, CHARLOTTE, NC 28204(704) 384-1246(704) 384-1249 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Wilson Clark Np NPPES

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

AMY WILSON CLARK NP (NPI 1285704544) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (950019) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1285704544
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMY WILSON CLARKCredential: NP
Location Address1718 E 4TH ST, SUITE 601Charlotte, NC 28204-3261
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830
Phone(704) 384-1246
Fax(704) 384-1249
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 8, 2006
Last NPPES UpdateJanuary 27, 2009
✔ NPI 1285704544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 950019
1718 E 4TH ST, Charlotte, NC 28204
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS86914NC
Medicare PIN2592149ANC

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

Amy Wilson Clark Np 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 ID3678542107
PECOS Enrollment IDI20260216003306
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204
Mecklenburg County (704) 598-7320
DR. PHILIP WILLIAM DE HOFF M. D.
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204
Mecklenburg County (704) 372-4000
STEPHANIE DAWN RITCHIE PA-C
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5100
NOVANT MEDICAL GROUP
Internal Medicine (Infectious Disease)
1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7840
JESSICA PUSKARICH NP
Nurse Practitioner
1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-1259
KAO NU LY PA-C
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 805
CHARLOTTE, NC 28204
Mecklenburg County (704) 376-5636
ROBERT BRIAN FAZIA MD
Internal Medicine (Cardiovascular Disease)
1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204
Mecklenburg County (704) 343-9800
NOVANT HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-0560

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 1285704544. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Amy Clark located?

Amy Clark practices at 1718 E 4th St Suite 601, Charlotte, NC 28204. The listed phone number is (704) 384-1246.

What is Amy Clark's specialty?

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

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.

When was this NPI record last updated?

The NPPES record for Amy Clark was last updated on January 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.