DR. CHARLOTTE ANN CLARK M.D.
NPI 1386875128
Family Medicine in Winona, MN

Q: What is Charlotte Clark's NPI number?

The NPI number for Charlotte Clark is 1386875128. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Q: What is Charlotte Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Charlotte Clark was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 28, 2009PECOS Enrolled

730 E 2ND ST, APT. 3, WINONA, MN 55987(507) 454-0903(507) 454-0600 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Charlotte Ann Clark M.d. NPPES

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

DR. CHARLOTTE ANN CLARK M.D. (NPI 1386875128) is an individual family medicine provider in Winona, Minnesota, licensed in Minnesota (41455) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386875128

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARLOTTE ANN CLARKCredential: M.D.

Location Address730 E 2ND ST, APT. 3Winona, MN 55987-4400

Mailing Address730 E 2nd St, Apt. 3Winona, MN 55987-4400 · (507) 454-0903 · Fax (507) 454-0600

Phone(507) 454-0903

Fax(507) 454-0600

Sole ProprietorYes

Enumeration DateJuly 28, 2009

✔ NPI 1386875128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 41455

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

730 E 2ND ST, Winona, MN 55987

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charlotte Ann Clark M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Charlotte Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Winona Health Services

1.2 mi

General Acute Care Hospital

855 MANKATO AVE
Winona, MN 55987

Reassigned Medicare billing, Minnesota enrollment
330 clinicians in this Medicare group

NPI 1295789352 (507) 454-3650

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55987 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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 Charlotte Clark's NPI number?

The NPI number for Charlotte Clark is 1386875128. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Where is Charlotte Clark located?

Charlotte Clark practices at 730 E 2nd St Apt. 3, Winona, MN 55987. The listed phone number is (507) 454-0903.

What is Charlotte Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charlotte Clark enrolled in Medicare?

Yes. Charlotte Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charlotte Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Clark reassigns Medicare benefits to Winona Health Services (Winona, MN). The 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 Charlotte Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charlotte Clark was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.