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CATHY VANESSA CLARK
NPI 1295474880
Nurse Practitioner in Altamonte Springs, FL

Active since June 01, 2022PECOS Enrolled
818 BAYBREEZE LN, ALTAMONTE SPRINGS, FL 32714(407) 756-0717 Get Directions Write a Review

NPPES record last updated: February 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2023, Jul 8, 2022 (2 updates tracked since 2022).

About Cathy Vanessa Clark NPPES

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

CATHY VANESSA CLARK (NPI 1295474880) is an individual nurse practitioner in Altamonte Springs, Florida, licensed in Florida (APRN11006110) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295474880
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCATHY VANESSA CLARK
Location Address818 BAYBREEZE LNAltamonte Springs, FL 32714-7502
Mailing Address818 Baybreeze LnAltamonte Springs, FL 32714-7502 · (407) 756-0717
Phone(407) 756-0717
Sole ProprietorNo
Enumeration DateJune 1, 2022
Last NPPES UpdateFebruary 4, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2023
✔ NPI 1295474880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11006110
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
818 BAYBREEZE LN, Altamonte Springs, FL 32714
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cathy Vanessa Clark 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.

Medicare Billing Reassignment

Medicare enrollment records show Cathy Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
963 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Florida enrollment
  • 168 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32714 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Cathy Clark's NPI number?

The NPI number for Cathy Clark is 1295474880. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Cathy Clark located?

Cathy Clark practices at 818 Baybreeze Ln, Altamonte Springs, FL 32714. The listed phone number is (407) 756-0717.

What is Cathy Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cathy Clark enrolled in Medicare?

Yes. Cathy Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cathy Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cathy Clark reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Cathy 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 Cathy Clark was last updated on February 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.