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DOMINIQUE CLARK FNP-C
NPI 1346874716
Nurse Practitioner - Family in Cordova, TN

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment
1540 APPLING CARE LN, CORDOVA, TN 38016(901) 444-3950 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2020, Oct 19, 2020, Oct 6, 2020 and 4 more (7 updates tracked since 2020).

About Dominique Clark Fnp-c NPPES

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

DOMINIQUE CLARK FNP-C (NPI 1346874716) is an individual family provider in Cordova, Tennessee, licensed in Tennessee (27344) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1346874716
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE CLARKCredential: FNP-C
Location Address1540 APPLING CARE LNCordova, TN 38016-4957
Mailing Address1540 Appling Care Ln Ste 105Cordova, TN 38016-4947 · (901) 444-3970
Phone(901) 444-3950
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 25, 2020
Last NPPES UpdateNovember 13, 20207 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
✔ NPI 1346874716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 27344
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 174756 (TN)
1540 APPLING CARE LN, Cordova, TN 38016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominique Clark Fnp-c 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 ID6608291687
PECOS Enrollment IDI20200807001732
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Dominique Clark reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Germantown Emergency Physicians, PLLC
5.5 mi
Emergency Medicine
7691 POPLAR AVE
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 251 clinicians in this Medicare group
NPI 1518747526 (901) 516-6000
Methodist North Emergency Physicians, PLLC
6.3 mi
Emergency Medicine
3960 NEW COVINGTON PIKE
Memphis, TN 38128
  • Reassigned Medicare billing, Tennessee enrollment
  • 250 clinicians in this Medicare group
NPI 1801677083 (901) 516-5200
Methodist University Emergency Physicians PLLC
12 mi
Emergency Medicine
1265 UNION AVE
Memphis, TN 38104
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group
NPI 1023899291 (901) 516-7000
Methodist South Emergency Physicians, PLLC
15 mi
Emergency Medicine
1300 WESLEY DR
Memphis, TN 38116
  • Reassigned Medicare billing, Tennessee enrollment
  • 252 clinicians in this Medicare group
NPI 1609657873 (901) 516-3700
Fast Pace Medical Clinic PLLC
169 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006
Crossroads Urgent Care PLLC
200 mi
Family Medicine
2445 MEMORIAL BLVD
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 310 clinicians in this Medicare group
NPI 1366644361 (615) 864-8713
Upperline Healthcare, PC
211 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Tennessee enrollment
  • 537 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Southeastern Emergency Physicians LLC
410 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Signify Health Medical Associates, PLLC
432 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Tennessee enrollment
  • 528 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services53 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
50 services40 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
42 services35 patients
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.
36 services29 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38016 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 4

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

CORDOVA PAIN SPECIALISTS, PLLC
Pain Medicine (Pain Medicine)
1540 APPLING CARE LN, SUITE 105
CORDOVA, TN 38016
Shelby County (901) 444-3950
BRENDA D BAILEY NP-C
Nurse Practitioner (Adult Health)
1540 APPLING CARE LN, STE 105
CORDOVA, TN 38016
Shelby County (901) 444-3950
DR. LISA CRAIG WINBORN PHD.
Psychologist (Counseling)
1540 APPLING CARE LN, SUITE 100
CORDOVA, TN 38016
Shelby County (901) 388-1893
GERALDINE BISHOP PHD
Psychologist (Clinical)
1540 APPLING CARE LN, SUITE 100
CORDOVA, TN 38016
Shelby County (901) 388-1893

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 Dominique Clark's NPI number?

The NPI number for Dominique Clark is 1346874716. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Dominique Clark located?

Dominique Clark practices at 1540 Appling Care Ln, Cordova, TN 38016. The listed phone number is (901) 444-3950.

What is Dominique Clark's specialty?

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

Is Dominique Clark enrolled in Medicare?

Yes. Dominique 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.

Which organizations bill Medicare for Dominique Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Clark reassigns Medicare benefits to 9 organizations: Germantown Emergency Physicians, PLLC (Germantown, TN), Methodist North Emergency Physicians, PLLC (Memphis, TN), Methodist University Emergency Physicians PLLC (Memphis, TN), Methodist South Emergency Physicians, PLLC (Memphis, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominique Clark accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Dominique 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 Dominique Clark was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.