THRISHANNA CLARK NP
NPI 1356810360
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS
About Thrishanna Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THRISHANNA CLARK NP (NPI 1356810360) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (902942) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Thrishanna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thrishanna Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmville, VA 23901
- Reassigned Medicare billing, Virginia enrollment
- 32 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Connecticut, District of Columbia and Washington enrollments
- 613 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
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 Thrishanna Clark's NPI number?
The NPI number for Thrishanna Clark is 1356810360. It was assigned to this individual provider in the NPPES registry on November 19, 2018.
Where is Thrishanna Clark located?
Thrishanna Clark practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.
What is Thrishanna Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Thrishanna Clark enrolled in Medicare?
Yes. Thrishanna 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 Thrishanna Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thrishanna Clark reassigns Medicare benefits to 2 organizations: Crossroads Services Board (Farmville, VA) and Grow Healthcare Group PA (Miami, FL). 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 Thrishanna Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thrishanna Clark accept?
Health plans from Oscar Health list Thrishanna 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 Thrishanna Clark was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Thrishanna Clark, NP · NPI 1356810360
Psychiatric/Mental Health physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since November 19, 2018.
## Identity
- **NPI:** 1356810360 (Entity type: Individual)
- **Enumerated:** November 19, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 902942 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3502 W NORTHSIDE DR, Jackson, MS 39213-4454
- **Phone:** (601) 362-5321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Crossroads Services Board (NPI 1528091063, Farmville, VA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356810360) · Data from the CMS NPPES public registry.