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NELLDA C CLARK CRNP
NPI 1407853880
Nurse Practitioner - Acute Care in Montgomery, AL

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
86.32/100
CMS Quality Rating
440 TAYLOR RD, 3300, MONTGOMERY, AL 36117(334) 265-7075(334) 261-6113 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nellda C Clark Crnp NPPES

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

NELLDA C CLARK CRNP (NPI 1407853880) is an individual acute care provider in Montgomery, Alabama, licensed in Alabama (1-0473524) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1998).

NPPES Registry Identity

NPI1407853880
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNELLDA C CLARKCredential: CRNP
Location Address440 TAYLOR RD, 3300Montgomery, AL 36117-3588
Mailing Address440 Taylor Rd, 3230Montgomery, AL 36117-3588 · (334) 265-7075 · Fax (334) 261-6113
Phone(334) 265-7075
Fax(334) 261-6113
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1998
Enumeration DateJune 30, 2005
Last NPPES UpdateFebruary 8, 2011
✔ NPI 1407853880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-0473524
440 TAYLOR RD, Montgomery, AL 36117
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS84191AL
Medicare ID-Type Unspecified000008426AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Nellda C 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 ID4284703570
PECOS Enrollment IDI20080513000036
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.

Areas of Expertise CMS Part B claims 6

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.

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.
95 services81 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
94 services80 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.
52 services43 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
44 services36 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.
12 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.07
Promoting Interoperability92
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
88%475 patients4/55-star benchmark: 100%
Breast Cancer Screening
11%204 patients1/55-star benchmark: 93%
Cervical Cancer Screening
14%123 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
21%434 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
57%493 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
81%26 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
2%137 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
74%137 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%821 patients4/55-star benchmark: 100%
e-Prescribing
90%213 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
5%444 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%694 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
6%656 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%168 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 575 patients
Patients screened: 98% · 575 patients
42%69 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
58%228 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%423 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 462 patients
Patients totalRate: 4% · 468 patients
4%468 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

VIVIAN G HAMLETT MD
Internal Medicine
440 TAYLOR RD, SUITE 3200
MONTGOMERY, AL 36117
Montgomery County (334) 213-6281
DR. MOHAMMAD IRFAN M.D.
Family Medicine
440 TAYLOR RD, SUITE 3380
MONTGOMERY, AL 36117
Montgomery County (334) 213-6287
DR. ANDREW WYNN MURKETT M.D.
Internal Medicine
440 TAYLOR RD, STE 3380
MONTGOMERY, AL 36117
Montgomery County (205) 502-6000
DR. TAI-HWANG MICHAEL FAN M.D.
Internal Medicine (Cardiovascular Disease)
440 TAYLOR RD, SUITE 3230
MONTGOMERY, AL 36117
Montgomery County (334) 260-9142
BRYAN A SMITH CRNP
Nurse Practitioner (Acute Care)
440 TAYLOR RD, SUITE 3380
MONTGOMERY, AL 36117
Montgomery County (334) 213-6287
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Family Medicine
440 TAYLOR RD, SUITE 3380
MONTGOMERY, AL 36117
Montgomery County (334) 213-6287
MRS. SANDRA STEVENSON CRNP
Family Medicine
440 TAYLOR RD, SUITE 31000
MONTGOMERY, AL 36117
Montgomery County (334) 277-5900
KAYLA LOTT
Nurse Practitioner (Family)
440 TAYLOR RD, SUITE NUMBER 3380
MONTGOMERY, AL 36117
Montgomery County (334) 303-6444

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 Nellda Clark's NPI number?

The NPI number for Nellda Clark is 1407853880. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Nellda Clark located?

Nellda Clark practices at 440 Taylor Rd 3300, Montgomery, AL 36117. The listed phone number is (334) 265-7075.

What is Nellda Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nellda Clark enrolled in Medicare?

Yes. Nellda 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 Nellda Clark accept?

Health plans from Blue Cross and Blue Shield of Alabama list Nellda 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.

When was this NPI record last updated?

The NPPES record for Nellda Clark was last updated on February 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.