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TEGAN N CLARKE MD
NPI 1386495729
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 01, 2024PECOS Enrolled
MSC10 5610 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4161(505) 272-2776 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2025, Apr 3, 2024 (2 updates tracked since 2024).

About Tegan N Clarke Md NPPES

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

TEGAN N CLARKE MD (NPI 1386495729) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2024-0159) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386495729
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTEGAN N CLARKECredential: MD
Location AddressMSC10 5610 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc10 5610 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4161 · Fax (505) 272-2776
Phone(505) 272-4161
Fax(505) 272-2776
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateApril 12, 20252 updates tracked since enumeration
NPPES CertifiedApril 12, 2025
✔ NPI 1386495729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2024-0159
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MSC10 5610 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tegan N Clarke Md 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.

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.

LAUREN MAREK
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
MICAELA RESTA
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DEANNA GONZALEZ MD
Surgery
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
KAELYN NICOLE BROOKS
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DR. LEAH LUCERO MD
Surgery
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
SARAH ALICE ZARRIN
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
ANUSARA CAROLYN ELLEN ICE MD
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
MAAHUM MEHDI MD
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161

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 Tegan Clarke's NPI number?

The NPI number for Tegan Clarke is 1386495729. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Tegan Clarke located?

Tegan Clarke practices at Msc10 5610 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4161.

What is Tegan Clarke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tegan Clarke enrolled in Medicare?

Yes. Tegan Clarke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tegan Clarke was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.