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JASON CLARK
NPI 1306197348
Nurse Anesthetist, Certified Registered in Jackson, TN

Active since October 01, 2012Accepts Medicare Assignment
620 SKYLINE DRIVE, JACKSON, TN 38301(731) 541-7070 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 affiliated with Methodist Hospitals Of Memphis, maintains a secondary practice location in Oxford, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306197348
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJASON CLARK
Location Address620 SKYLINE DRIVEJackson, TN 38301
Mailing Address620 Skyline DrJackson, TN 38301-3923
Phone(731) 541-7070
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 1, 2012
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1306197348 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
Licenses✔ Licensed in TN · 16994✔ Licensed in MS · 810611
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.
620 SKYLINE DRIVE, Jackson, TN 38301
Open in Google Maps ↗

Secondary Practice Location 1

Location 11208 Office Park DrOXFORD, MS 38655-3597 · Phone (662) 234-9888 · Fax (662) 281-8927

Other Identifiers 1

Medicaid200025631MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

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.

PECOS PAC ID4284884834
PECOS Enrollment IDI20121017000538, I20141018000089

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician 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.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%307 patients5/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%313 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TIMOTHY RAY CROSSETT MD
Radiology (Diagnostic Radiology)
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-6174
SELECT SPECIALTY HOSPITAL - WEST TENNESSEE, LLC
Long Term Care Hospital
620 SKYLINE DRIVE, 5TH AND 6TH FLOORS
JACKSON, TN 38301
Madison County (717) 972-1100
MRS. TWONIA MICHELLE GOYER FNP
Nurse Practitioner
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-6174
JACKSON MADISON COUNTY GENERAL HOSPITAL
Rehabilitation Unit
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-6930
DR. ALLEN L SCHLAMP M.D.
Radiology (Diagnostic Radiology)
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 660-8759
DR. JAMES LEE ELLIS JR. M.D.
Radiology (Diagnostic Radiology)
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-6174
ANITA L WYNN C.R.N.A.
Nurse Anesthetist, Certified Registered
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-7070
DR. PAMELA A JAMIESON M.D.
Radiology (Diagnostic Radiology)
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 660-8759

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.

What insurance does Jason Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee 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 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 5 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.