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JORDAN CLARK PA-C
NPI 1336701911
Physician Assistant in Fort Riley, KS

Active since July 03, 2019PECOS Enrolled
650 HUEBNER RD, FORT RILEY, KS 66442(785) 239-3627 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Oct 5, 2022, Jul 3, 2019 (3 updates tracked since 2019).

About Jordan Clark Pa-c NPPES

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

JORDAN CLARK PA-C (NPI 1336701911) is an individual physician assistant in Fort Riley, Kansas, licensed in Kansas (15-02330) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336701911
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN CLARKCredential: PA-C
Location Address650 HUEBNER RDFort Riley, KS 66442-4030
Mailing AddressBldg 650 Huebner RdFory Riley, KS 66442
Phone(785) 239-3627
Sole ProprietorNo
Enumeration DateJuly 3, 2019
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1336701911 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 KS · 15-02330
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.
650 HUEBNER RD, Fort Riley, KS 66442
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Other Identifiers 1

Other15-02330KS · Ksbha

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Clark Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 66442 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

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. ANNIE MARIE MOSIER ESLIT O.D.
Optometrist
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 240-7335
KATHRYN WESSEL PTA
Physical Therapy Assistant
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-7964
HENRY COLLETT
Physician Assistant
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (362) 778-5239
PATRICIA A KEEFE M.D.
Surgery
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-7151
TERESSA D CHANDLER FNP-C
Nurse Practitioner (Family)
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-7445
STEVEN ROBLES PSYD
Psychologist
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-3627
KELLY PALMER MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-0568
CATHRINE JONES RD, LD, IBCLC
Dietitian, Registered
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-7667

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 Jordan Clark's NPI number?

The NPI number for Jordan Clark is 1336701911. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Jordan Clark located?

Jordan Clark practices at 650 Huebner Rd, Fort Riley, KS 66442. The listed phone number is (785) 239-3627.

What is Jordan Clark's specialty?

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

Is Jordan Clark enrolled in Medicare?

Yes. Jordan Clark is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Clark accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Jordan 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.

When was this NPI record last updated?

The NPPES record for Jordan Clark was last updated on December 2, 2025. 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.