JENNIFER SHAE CLARK NP
NPI 1295319374
Nurse Practitioner - Family in Decatur, TX

Active since May 05, 2021PECOS Enrolled
215 WESTSIDE DR STE 200, DECATUR, TX 76234(940) 273-5700 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Shae Clark Np NPPES

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

JENNIFER SHAE CLARK NP (NPI 1295319374) is an individual family provider in Decatur, Texas, licensed in Texas (1010436) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295319374
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER SHAE CLARKCredential: NP
Location Address215 WESTSIDE DR STE 200Decatur, TX 76234-3869
Mailing Address215 Westside Dr Ste 200Decatur, TX 76234-3869 · (940) 273-5700
Sole ProprietorNo
Enumeration DateMay 5, 2021
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 3, 2023
NPI 1295319374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1010436
215 WESTSIDE DR STE 200, Decatur, TX 76234

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Shae Clark Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 76234 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

Nurse Practitioner (Family)
215 WESTSIDE DR STE 200
DECATUR, TX 76234
Nurse Practitioner (Family)
215 WESTSIDE DR STE 200
DECATUR, TX 76234
Nurse Practitioner (Family)
215 WESTSIDE DR STE 200
DECATUR, TX 76234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295319374, enumerated as an "individual" on May 05, 2021.

The provider is located at 215 WESTSIDE DR STE 200 DECATUR, TX 76234 and the phone number is (940) 273-5700.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.