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

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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 and is a graduate of Other (2020).

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
Medical School CMSOtherGraduated 2020
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 and accepts Medicare assignment

Jennifer Shae 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 ID6103229224
PECOS Enrollment IDI20210728000128
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1295319374. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Jennifer Clark located?

Jennifer Clark practices at 215 Westside Dr Ste 200, Decatur, TX 76234. The listed phone number is (940) 273-5700.

What is Jennifer Clark's specialty?

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

Is Jennifer Clark enrolled in Medicare?

Yes. Jennifer 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 Jennifer Clark accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.