HALEY CLARK
NPI 1326417023
Physician Assistant in Stanford, KY

Active since September 23, 2015PECOS EnrolledAccepts Medicare Assignment
100 JAY ST, STANFORD, KY 40484(606) 365-5746 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haley Clark NPPES

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

HALEY CLARK (NPI 1326417023) is an individual physician assistant in Stanford, Kentucky, licensed in Kentucky (TC419) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326417023
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY CLARK
Location Address100 JAY STStanford, KY 40484-7511
Mailing Address436 Logan Creek DrStanford, KY 40484-9524 · (859) 324-5746
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 23, 2015
Last NPPES UpdateJune 25, 2019
NPI 1326417023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · TC419
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 JAY ST, Stanford, KY 40484

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

Haley 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 ID1658680970
PECOS Enrollment IDI20151027001515
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40484 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims28 services$6.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims15 services$1.05 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$25.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
100 JAY ST
STANFORD, KY 40484
Nurse Practitioner (Women's Health)
100 JAY ST
STANFORD, KY 40484
Nurse Practitioner (Family)
100 JAY ST
STANFORD, KY 40484
Nurse Practitioner (Family)
100 JAY ST
STANFORD, KY 40484
Nurse Practitioner (Family)
100 JAY ST
STANFORD, KY 40484
Nurse Practitioner (Family)
100 JAY ST
STANFORD, KY 40484
Physician Assistant
100 JAY ST
STANFORD, KY 40484
Family Medicine
100 JAY ST
STANFORD, KY 40484

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 Haley Clark's NPI number?

The NPI number for Haley Clark is 1326417023. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Where is Haley Clark located?

Haley Clark practices at 100 Jay St, Stanford, KY 40484. The listed phone number is (606) 365-5746.

What is Haley Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Clark enrolled in Medicare?

Yes. Haley 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.

When was this NPI record last updated?

The NPPES record for Haley Clark was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.