STEFANIE CLARKE
NPI 1386300713
Nurse Practitioner - Pediatrics in Morton, IL

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

Active since November 10, 2021PECOS Enrolled

435 MAXINE DR, MORTON, IL 61550(309) 263-8173 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Stefanie Clarke NPPES

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

STEFANIE CLARKE (NPI 1386300713) is an individual pediatrics provider in Morton, Illinois, licensed in Illinois (209.024324) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386300713

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSTEFANIE CLARKE

Location Address435 MAXINE DRMorton, IL 61550-2498

Mailing Address340 S Glen AveMorton, IL 61550-1914

Phone(309) 263-8173

Sole ProprietorNo

Enumeration DateNovember 10, 2021

NPPES CertifiedNovember 10, 2021

✔ NPI 1386300713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IL · 209.024324

435 MAXINE DR, Morton, IL 61550

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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)

Stefanie Clarke 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 61550 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

HENRY MARTIN-DEL-CAMPO

Family Medicine