SUSAN MARIE CLARK PMHNP-BC
NPI 1376161950
Nurse Practitioner - Psychiatric/Mental Health in Orange City, FL

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
300 TREEMONTE DR, ORANGE CITY, FL 32763(800) 614-4124(888) 217-4124 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2022, Jul 9, 2020 (2 updates tracked since 2020).

About Susan Marie Clark Pmhnp-bc NPPES

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

SUSAN MARIE CLARK PMHNP-BC (NPI 1376161950) is an individual psychiatric/mental health provider in Orange City, Florida, licensed in Florida (APRN11007813) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winter Springs, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376161950
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN MARIE CLARKCredential: PMHNP-BC
Location Address300 TREEMONTE DROrange City, FL 32763-7977
Mailing Address674 Coral WayWinter Springs, FL 32708-3127 · (334) 220-2985
Fax(888) 217-4124
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 9, 2020
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
NPI 1376161950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN11007813
300 TREEMONTE DR, Orange City, FL 32763

Secondary Practice Location 1

Location 1674 Coral WayWinter Springs, FL 32708-3127 · Phone (334) 220-2985

Accepted 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

Susan Marie Clark Pmhnp-bc 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 ID6002235454
PECOS Enrollment IDI20201002002888
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 32763 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

Social Worker (Clinical)
300 TREEMONTE DR
ORANGE CITY, FL 32763
Social Worker (Clinical)
300 TREEMONTE DR
ORANGE CITY, FL 32763

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 Susan Clark's NPI number?

The NPI number for Susan Clark is 1376161950. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Susan Clark located?

Susan Clark practices at 300 Treemonte Dr, Orange City, FL 32763. The listed phone number is (800) 614-4124.

What is Susan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan Clark enrolled in Medicare?

Yes. Susan 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 Susan Clark accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Susan 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 Susan Clark was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.