SHALITA CLARK CRNP
NPI 1396214060
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY
About Shalita Clark Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHALITA CLARK CRNP (NPI 1396214060) is an individual psychiatric/mental health provider in Bronx, New York, licensed in Indiana (CV2100304) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shalita Clark Crnp 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.
Medicare Billing Reassignments
9Medicare enrollment records show Shalita Clark reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10451
- Reassigned Medicare billing, New York enrollment
- 971 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
New York, NY 10005
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Clark Np In Psychiatry Services PC
Irondale, AL 35210
- Reassigned Medicare billing, Alabama enrollment
- 3 clinicians in this Medicare group
Troy, AL 36079
- Reassigned Medicare billing, Alabama enrollment
- 514 clinicians in this Medicare group
Missouri City, TX 77459
- Reassigned Medicare billing, Alabama and Texas enrollments
- 6 clinicians in this Medicare group
Anaheim, CA 92805
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
Glendale, CA 91203
- Reassigned Medicare billing, Texas enrollment
- 29 clinicians in this Medicare group
Placerville, CA 95667
- Reassigned Medicare billing, California enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lincoln Medical & Mental Health Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRONX, NY 10451
BRONX, NY 10451
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 Shalita Clark's NPI number?
The NPI number for Shalita Clark is 1396214060. It was assigned to this individual provider in the NPPES registry on November 24, 2018.
Where is Shalita Clark located?
Shalita Clark practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (718) 579-5006.
What is Shalita Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shalita Clark enrolled in Medicare?
Yes. Shalita 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.
Which organizations bill Medicare for Shalita Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shalita Clark reassigns Medicare benefits to 9 organizations: Downtown Bronx Medical Associates PC (Bronx, NY), Physician Affiliate Group Of New York PC (New York, NY), Clark Np In Psychiatry Services P.C. (New York, NY), Lifesource Of North Carolina (Irondale, AL), Houston County Healthcare Authority (Troy, AL) and 4 more organizations, listed in the Medicare section above. Each 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 Shalita Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shalita Clark accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Shalita 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.
Is Shalita Clark affiliated with any hospitals?
According to CMS data, Shalita Clark is affiliated with Lincoln Medical & Mental Health Center.
When was this NPI record last updated?
The NPPES record for Shalita Clark was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shalita Clark, CRNP · NPI 1396214060
Psychiatric/Mental Health physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since November 24, 2018.
## Identity
- **NPI:** 1396214060 (Entity type: Individual)
- **Enumerated:** November 24, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CV2100304 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 234 E 149TH ST, Bronx, NY 10451-5504
- **Phone:** (718) 579-5006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Downtown Bronx Medical Associates PC (NPI 1689618407, Bronx, NY); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); Clark Np In Psychiatry Services P.C. (NPI 1689564924, New York, NY); Lifesource Of North Carolina (NPI 1821535428, Irondale, AL); Houston County Healthcare Authority (NPI 1295065811, Troy, AL); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396214060) · Data from the CMS NPPES public registry.