Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA KATE CLARK APRN
NPI 1417412917
Nurse Practitioner - Psychiatric/Mental Health in Hinesville, GA

Q: What is Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1417412917. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Q: What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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 February 08, 2019PECOS Enrolled

604 W OGLETHORPE HWY STE B, HINESVILLE, GA 31313(912) 910-2770(844) 440-5653 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Apr 3, 2023, Feb 19, 2019 and 1 more (4 updates tracked since 2019).

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About Jessica Kate Clark Aprn NPPES

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

JESSICA KATE CLARK APRN (NPI 1417412917) is an individual psychiatric/mental health provider in Hinesville, Georgia, licensed in Georgia (RN215514) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417412917

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA KATE CLARKCredential: APRN

Location Address604 W OGLETHORPE HWY STE BHinesville, GA 31313-4415

Mailing Address604 W Oglethorpe Hwy Ste BHinesville, GA 31313-4415 · (912) 910-2770 · Fax (844) 440-5653

Phone(912) 910-2770

Fax(844) 440-5653

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 8, 2019

Last NPPES UpdateNovember 3, 20264 updates tracked since enumeration

NPPES CertifiedNovember 3, 2026

✔ NPI 1417412917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN215514

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN215514 (GA)

604 W OGLETHORPE HWY STE B, Hinesville, GA 31313

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Jessica Kate 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 ID1951644954

PECOS Enrollment IDI20190514003111

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 Jessica Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renewed Hope Health & Wellness, LLC

24 mi

Psychiatric/Mental Health

191 SE BROAD ST
Jesup, GA 31546

Reassigned Medicare billing, Georgia enrollment
3 clinicians in this Medicare group

NPI 1740026541 (912) 559-2710

Unison Behavioral Health

50 mi

Community/Behavioral Health

9052 MAIN STREET
Nahunta, GA 31553

Reassigned Medicare billing, Georgia enrollment
33 clinicians in this Medicare group

NPI 1912043290 (912) 462-5849

K Somanath MD Inc

2,128 mi

Psychiatry

6464 W SUNSET BLVD STE 740
Los Angeles, CA 90028

Reassigned Medicare billing, Georgia enrollment
7 clinicians in this Medicare group

NPI 1649998022 (424) 588-5350

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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

48 services11 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.

19 services15 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31313 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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

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

PETER BUSH

Counselor (Professional)

604 W OGLETHORPE HWY STE B
HINESVILLE, GA 31313

Liberty County (912) 910-2770

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 Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1417412917. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Jessica Clark located?

Jessica Clark practices at 604 W Oglethorpe Hwy Ste B, Hinesville, GA 31313. The listed phone number is (912) 910-2770.

What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Clark enrolled in Medicare?

Yes. Jessica 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 Jessica Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clark reassigns Medicare benefits to 3 organizations: Renewed Hope Health & Wellness, LLC (Jesup, GA), Unison Behavioral Health (Nahunta, GA) and K Somanath MD Inc (Los Angeles, CA). 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 Jessica Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Jessica 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 Jessica Clark was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.