NATHANIEL CLARK APRN-CRNA
NPI 1295270346
Nurse Anesthetist, Certified Registered in Sidney, NE

Active since December 28, 2016PECOS EnrolledAccepts Medicare Assignment
1000 POLE CREEK XING, SIDNEY, NE 69162(308) 254-5825 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nathaniel Clark Aprn-crna NPPES

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

NATHANIEL CLARK APRN-CRNA (NPI 1295270346) is an individual nurse anesthetist, certified registered in Sidney, Nebraska, licensed in Nebraska (101380) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295270346
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNATHANIEL CLARKCredential: APRN-CRNA
Location Address1000 POLE CREEK XINGSidney, NE 69162-2901
Mailing Address1000 Pole Creek XingSidney, NE 69162-2901 · (308) 254-5825
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 28, 2016
✔ NPI 1295270346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NE · 101380
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1000 POLE CREEK XING, Sidney, NE 69162

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Clark Aprn-crna 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 ID2860773587
PECOS Enrollment IDI20170111001247
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

3

Medicare enrollment records show Nathaniel Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Critical Access
300 N 2ND ST
O'neill, NE 68763
  • Reassigned Medicare billing, Nebraska enrollment
  • 86 clinicians in this Medicare group
Family Medicine
110 N 29TH ST, SUITE 201
Norfolk, NE 68701
  • Reassigned Medicare billing, Nebraska enrollment
  • 252 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.

Hospital Affiliations CMS Care Compare 2

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

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Avera St Anthony's Hospital

Critical Access Hospitals · O' Neill, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number281329
Location300 North 2nd StO' Neill, NE 68763 · Holt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69162 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
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.

Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Occupational Therapist
1000 POLE CREEK XING
SIDNEY, NE 69162
Physical Therapy Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Speech-Language Pathologist
1000 POLE CREEK XING
SIDNEY, NE 69162
Nurse Practitioner (Family)
1000 POLE CREEK XING
SIDNEY, NE 69162
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Ambulance
1000 POLE CREEK XING
SIDNEY, NE 69162
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162

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 Nathaniel Clark's NPI number?

The NPI number for Nathaniel Clark is 1295270346. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Where is Nathaniel Clark located?

Nathaniel Clark practices at 1000 Pole Creek Xing, Sidney, NE 69162. The listed phone number is (308) 254-5825.

What is Nathaniel Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nathaniel Clark enrolled in Medicare?

Yes. Nathaniel 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.

Which organizations bill Medicare for Nathaniel Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Clark reassigns Medicare benefits to 3 organizations: Rosebud Indian Health Service (Rosebud, SD), Avera St Anthonys Hospital (O'neill, NE) and Faith Regional Physician Services, LLC (Norfolk, NE). 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 Nathaniel Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Clark accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark of South Dakota, Inc. list Nathaniel 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 Nathaniel Clark affiliated with any hospitals?

According to CMS data, Nathaniel Clark is affiliated with Faith Regional Health Services and Avera St Anthony's Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Clark was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.