JASON CLARK
NPI 1306197348
Nurse Anesthetist, Certified Registered in Jackson, TN
About Jason Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON CLARK (NPI 1306197348) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (16994) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and maintains a secondary practice location in Oxford.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Jason Clark 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.
Medicare Billing Reassignments
5Medicare enrollment records show Jason Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Germantown, TN 38138
- Reassigned Medicare billing, Mississippi enrollment
- 85 clinicians in this Medicare group
Memphis, TN 38125
- Reassigned Medicare billing, Mississippi enrollment
- 284 clinicians in this Medicare group
Memphis, TN 38104
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 124 clinicians in this Medicare group
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 122 clinicians in this Medicare group
Batesville, MS 38606
- Reassigned Medicare billing, Mississippi enrollment
- 4 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.
Methodist Healthcare - Olive Branch Hospital
Acute Care Hospitals · Olive Branch, MSMethodist Hospitals Of Memphis
Acute Care Hospitals · Memphis, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, TN 38301
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 Jason Clark's NPI number?
The NPI number for Jason Clark is 1306197348. It was assigned to this individual provider in the NPPES registry on October 1, 2012.
Where is Jason Clark located?
Jason Clark practices at 620 Skyline Drive, Jackson, TN 38301. The listed phone number is (731) 541-7070.
What is Jason Clark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jason Clark enrolled in Medicare?
Yes. Jason 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 Jason Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Clark reassigns Medicare benefits to 5 organizations: Gastroenterology Center Of The Midsouth PLLC (Germantown, TN), Lifelinc Anesthesia, PLLC (Memphis, TN), Resource Anesthesiology Associates Of Tn PC (Memphis, TN), Willow Anesthesia Services LLC (Oxford, MS) and Strategic Anesthesia Partners LLC (Batesville, MS). 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 Jason Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Clark accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Jason 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 Jason Clark affiliated with any hospitals?
According to CMS data, Jason Clark is affiliated with Methodist Healthcare - Olive Branch Hospital and Methodist Hospitals Of Memphis.
When was this NPI record last updated?
The NPPES record for Jason Clark was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Jason Clark · NPI 1306197348
Nurse Anesthetist, Certified Registered physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since October 1, 2012.
## Identity
- **NPI:** 1306197348 (Entity type: Individual)
- **Enumerated:** October 1, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 16994 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 SKYLINE DRIVE, Jackson, TN 38301
- **Phone:** (731) 541-7070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Gastroenterology Center Of The Midsouth PLLC (NPI 1417932492, Germantown, TN); Lifelinc Anesthesia, PLLC (NPI 1801021464, Memphis, TN); Resource Anesthesiology Associates Of Tn PC (NPI 1316724073, Memphis, TN); Willow Anesthesia Services LLC (NPI 1205169521, Oxford, MS); Strategic Anesthesia Partners LLC (NPI 1427982503, Batesville, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 25, 2026
- **Other identifiers:** Medicaid 200025631 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1306197348) · Data from the CMS NPPES public registry.