ALEXIA J CLARK PA-C
NPI 1386309060
Physician Assistant in Tulsa, OK

Q: What is Alexia Clark's NPI number?

The NPI number for Alexia Clark is 1386309060. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Q: What is Alexia Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexia Clark was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2021PECOS EnrolledAccepts Medicare Assignment

4444 E 41ST ST, TULSA, OK 74135(918) 619-4400(918) 619-4960 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2025, Nov 19, 2024, Nov 8, 2021 (3 updates tracked since 2021).

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About Alexia J Clark Pa-c NPPES

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

ALEXIA J CLARK PA-C (NPI 1386309060) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (4668) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386309060

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXIA J CLARKCredential: PA-C

Location Address4444 E 41ST STTulsa, OK 74135-2527

Mailing AddressPo Box 268838Oklahoma City, OK 73126-8838 · (918) 635-7500 · Fax (918) 634-7560

Phone(918) 619-4400

Fax(918) 619-4960

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 8, 2021

Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1386309060 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 OK · 4668

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.

4444 E 41ST ST, Tulsa, OK 74135

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Other Identifiers 1

Medicaid201199380AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.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

Alexia J Clark Pa-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 ID1658728670

PECOS Enrollment IDI20231114000761

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370114

Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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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.

JOHN MAXWELL CARMENT MD

Internal Medicine (Geriatric Medicine)