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SHALITA CLARK CRNP
NPI 1396214060
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Active since November 24, 2018PECOS EnrolledAccepts Medicare Assignment
234 E 149TH ST, BRONX, NY 10451(718) 579-5006 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 22, 2022, Mar 29, 2021, Nov 24, 2018 (3 updates tracked since 2018).

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

NPI1396214060
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHALITA CLARKCredential: CRNP
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address234 E 149th StBronx, NY 10451-5589 · (718) 579-5006
Phone(718) 579-5006
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 24, 2018
Last NPPES UpdateApril 22, 20223 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1396214060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IN · CV2100304✔ Licensed in NY · 402966V✔ Licensed in AL · 1-147364✔ Licensed in CA · 95010591
234 E 149TH ST, Bronx, NY 10451
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

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.

PECOS PAC ID1153662283
PECOS Enrollment IDI20220118002506
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.

Lincoln Medical & Mental Health Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330080
Location234 East 149th StreetBronx, NY 10451 · Bronx County
Emergency services Birthing friendly

Physician 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

DR. THOMAS HENRY PARRY M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-6010
MAIRA FONSECA
Dermatology
234 E 149TH ST
BRONX, NY 10451
Bronx County (212) 639-3210
DR. RO GONSALVES M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JONATHAN V LI MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
ZULEYKA A GRULLON LCSW
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JOSHUA RONALD GRAVEL MD, MSC
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
REBEKAH SNITKOFF
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
MR. CARLOS ESTEBAN NARVAEZ MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000

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.

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.