1. Home
  2. Directory
  3. Tennessee
  4. Bristol
  5. Nurse Practitioner
  6. NPI Profile

JEAN Y CLARK NP
NPI 1326390592
Nurse Practitioner - Family in Bristol, TN

Active since October 11, 2012PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jean Y Clark Np NPPES

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

JEAN Y CLARK NP (NPI 1326390592) is an individual family provider in Bristol, Tennessee, licensed in Tennessee (16941) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Kingsport.

NPPES Registry Identity

NPI1326390592
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEAN Y CLARKCredential: NP
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Phone(423) 844-1121
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 11, 2012
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1326390592 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 TN · 16941
1 MEDICAL PARK BLVD, Bristol, TN 37620
Open in Google Maps ↗

Secondary Practice Location 1

Location 1130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000 · Fax (423) 224-3258

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Jean Y 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 ID9032361365
PECOS Enrollment IDI20121212000293
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
152 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

CASSONDRA NICHOLE COMPTON CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2686
DAVID R HUDGENS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
DR. JEAN MARIE MANCINI M.D.
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Sullivan County (423) 968-3713
THOMAS A KITTS MD
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2100
LAURA ANN ELLER AGACNP
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. WALTER DAVIS ARNOLD JR. MD
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. KARL E LAWRENCE M.D.
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. MICHAEL WAYNE RENTZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220

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 Jean Clark's NPI number?

The NPI number for Jean Clark is 1326390592. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Jean Clark located?

Jean Clark practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Jean Clark's specialty?

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

Is Jean Clark enrolled in Medicare?

Yes. Jean 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 Jean Clark accept?

Health plans from BlueCross BlueShield of Tennessee list Jean 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 Jean Clark affiliated with any hospitals?

According to CMS data, Jean Clark is affiliated with Wellmont Holston Valley Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Jean Clark was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.