MRS. TERESA M CLARK CRNP
NPI 1306956172
Nurse Practitioner in Moosic, PA

Q: What is Teresa Clark's NPI number?

The NPI number for Teresa Clark is 1306956172. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Teresa Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresa Clark was last updated on September 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

65/100

CMS Quality Rating

340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686(570) 558-6838 Get Directions Write a Review

NPPES record last updated: September 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Teresa M Clark Crnp NPPES

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

MRS. TERESA M CLARK CRNP (NPI 1306956172) is an individual nurse practitioner in Moosic, Pennsylvania, licensed in Pennsylvania (TP006932B) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1306956172

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. TERESA M CLARKCredential: CRNP

Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1782

Mailing Address340 Montage Mountain RdMoosic, PA 18507-1782 · (570) 346-3686 · Fax (570) 558-6838

Phone(570) 346-3686

Fax(570) 558-6838

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 2, 2010

✔ NPI 1306956172 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 PA · TP006932B

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.

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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Other Identifiers 1

Medicare ID-Type Unspecified082027PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mrs. Teresa M Clark Crnp 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 ID1850366410

PECOS Enrollment IDI20040827000966

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

201 services117 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

55 services30 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

29 services15 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18507 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.17

Improvement Activities

Cost

25.52

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Other Providers at the Same Location NPPES 20

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

MRS. AMANDA LYN FIDIAM PA-C

Physician Assistant (Medical)