MR. RODNEY JAMES CLARK ARNP
NPI 1417443953
Nurse Practitioner - Family in Des Moines, IA

Q: What is Rodney Clark's NPI number?

The NPI number for Rodney Clark is 1417443953. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Rodney 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 Rodney Clark was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 09, 2018PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

5921 SE 14TH ST STE 2500, DES MOINES, IA 50320(515) 287-5757 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2023, Jul 9, 2018 (2 updates tracked since 2018).

On this page

About Mr. Rodney James Clark Arnp NPPES

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

MR. RODNEY JAMES CLARK ARNP (NPI 1417443953) is an individual family provider in Des Moines, Iowa, licensed in Iowa (A127066) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417443953

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. RODNEY JAMES CLARKCredential: ARNP

Location Address5921 SE 14TH ST STE 2500Des Moines, IA 50320-1747

Mailing Address6800 Lake Dr Ste 285West Des Moines, IA 50266-2544 · (515) 226-3116

Phone(515) 287-5757

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 9, 2018

Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration

NPPES CertifiedNovember 2, 2023

✔ NPI 1417443953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in IA · A127066

Also ListedNurse PractitionerTaxonomy 363L00000X · License A127066 (IA)

5921 SE 14TH ST STE 2500, Des Moines, IA 50320

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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

Mr. Rodney James Clark Arnp 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 ID9436402062

PECOS Enrollment IDI20181030000590

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 Reassignment

Medicare enrollment records show Rodney Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iowa Dermatology Clinic, Plc

Same address

Dermatology

5921 SE 14TH ST, SUITE 2500
Des Moines, IA 50320

Reassigned Medicare billing, Iowa enrollment
23 clinicians in this Medicare group

NPI 1508238395 (515) 287-5757

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 18

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,290 services170 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.

344 services264 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

313 services210 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

220 services183 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

133 services115 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

85 services85 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.

69 services53 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

67 services55 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

65 services43 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

63 services63 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

56 services47 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

35 services15 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

33 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

15 services15 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

14 services14 patients

Removal of skin tag, 1-15 skin tags 11200

Skin tag removal is a simple procedure where small, benign growths on the skin are carefully removed. This can be achieved through several methods such as freezing, burning, or cutting off the skin tags. The process is quick, typically painless with local anesthesia, and aids in skin smoothness.

13 services11 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Lucas County Health Center

Critical Access Hospitals · Chariton, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161341

Location1200 North 7th StreetChariton, IA 50049 · Lucas County

Emergency services

Ringgold County Hospital

Critical Access Hospitals · Mount Ayr, IA

OwnershipGovernment - Local

CMS Certification Number161373

Location504 North Cleveland StreetMount Ayr, IA 50854 · Ringgold County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50320 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

EMMA HOEGER ARNP, FNP-C

Nurse Practitioner (Family)

5921 SE 14TH ST STE 2500
DES MOINES, IA 50320

Polk County (515) 287-5757

KATHRYN ELIZABETH EWOLDT FNP-BC

Nurse Practitioner (Family)

5921 SE 14TH ST STE 2500
DES MOINES, IA 50320

Polk County (515) 287-5757

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 Rodney Clark's NPI number?

The NPI number for Rodney Clark is 1417443953. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Rodney Clark located?

Rodney Clark practices at 5921 SE 14th St Ste 2500, Des Moines, IA 50320. The listed phone number is (515) 287-5757.

What is Rodney Clark's specialty?

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

Is Rodney Clark enrolled in Medicare?

Yes. Rodney 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 organization bills Medicare for Rodney Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Clark reassigns Medicare benefits to Iowa Dermatology Clinic, Plc (Des Moines, IA). The 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 Rodney Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodney Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Rodney 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 Rodney Clark affiliated with any hospitals?

According to CMS data, Rodney Clark is affiliated with Mercyone Des Moines Medical Center, Lucas County Health Center and Ringgold County Hospital.

When was this NPI record last updated?

The NPPES record for Rodney Clark was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.