MELISSA G CLARK APRN
NPI 1407103005
Nurse Practitioner - Family in Plattsburgh, NY

Q: What is Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1407103005. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Q: What is Melissa Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Clark was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 14, 2012PECOS EnrolledAccepts Medicare Assignment

96 COURT ST, PLATTSBURGH, NY 12901(518) 562-2369 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Melissa G Clark Aprn NPPES

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

MELISSA G CLARK APRN (NPI 1407103005) is an individual family provider in Plattsburgh, New York, licensed in New York (3379451) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1407103005

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA G CLARKCredential: APRN

Location Address96 COURT STPlattsburgh, NY 12901-2733

Mailing Address96 Court StPlattsburgh, NY 12901-2733 · (518) 562-2369

Phone(518) 562-2369

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 14, 2012

Last NPPES UpdateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1407103005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 3379451

96 COURT ST, Plattsburgh, NY 12901

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Secondary Practice Location 1

Location 1156 William St Rm 303New York, NY 10038-5307 · Phone (518) 593-9795

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

Melissa G Clark Aprn 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 ID8022269851

PECOS Enrollment IDI20140207001330

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 Reassignments

Medicare enrollment records show Melissa Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

In Health Family Medicine PC

Same address

Family Medicine

96 COURT ST
Plattsburgh, NY 12901

Reassigned Medicare billing, New York enrollment
6 clinicians in this Medicare group

NPI 1841565686 (518) 562-2369

Champlain Valley Physicians Hospital Medical Center

0.5 mi

General Acute Care Hospital

75 BEEKMAN ST
Plattsburgh, NY 12901

Reassigned Medicare billing, New York enrollment
675 clinicians in this Medicare group

NPI 1033270699 (518) 561-2000

Lake City Primary Care PLLC

2.0 mi

Family Medicine

16 DEGRANDPRE WAY, SUITE 300
Plattsburgh, NY 12901

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1164850053 (518) 561-8256

Circle Medical Care Of New York PC

277 mi

Family Medicine

156 WILLIAM ST RM 303
New York, NY 10038

Reassigned Medicare billing, New York enrollment
87 clinicians in this Medicare group

NPI 1780425447 (855) 487-8497

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

75 services75 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

67 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

43 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330250

Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County

Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331302

Location75 Park StreetElizabethtown, NY 12932 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims341 services$7.66 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims5,115 services$1.41 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers23 claims23 services$20.37 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier12 claims12 services$31.33 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$112.14 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers12 claims12 services$26.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PHYLLIS MCCULLUM PA

Physician Assistant