SHINIKA CLARK NP, PMHNP
NPI 1417679176
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Q: What is Shinika Clark's NPI number?

The NPI number for Shinika Clark is 1417679176. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Q: What is Shinika 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 Shinika Clark was last updated on September 10, 2024. 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 September 19, 2022PECOS EnrolledAccepts Medicare Assignment

1190 PELICAN BAY DR, DAYTONA BEACH, FL 32119(386) 206-8069(386) 206-8069 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2024, Apr 24, 2024, Jun 9, 2023 and 2 more (5 updates tracked since 2022).

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About Shinika Clark Np, Pmhnp NPPES

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

SHINIKA CLARK NP, PMHNP (NPI 1417679176) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (APRN11022123) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417679176

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHINIKA CLARKCredential: NP, PMHNP

Location Address1190 PELICAN BAY DRDaytona Beach, FL 32119-1381

Mailing Address1190 Pelican Bay DrDaytona Beach, FL 32119-1381 · (386) 206-8068 · Fax (386) 206-8069

Phone(386) 206-8069

Fax(386) 206-8069

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 19, 2022

Last NPPES UpdateSeptember 10, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1417679176 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 FL · APRN11022123

Also ListedRegistered Nurse · RehabilitationTaxonomy 163WR0400X · License RN9392948 (FL)

1190 PELICAN BAY DR, Daytona Beach, FL 32119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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

Shinika Clark Np, Pmhnp 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 ID5698130276

PECOS Enrollment IDI20230504000555

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 Shinika Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Helping Hand Of Tomorrow, Inc

0.2 mi

Psychiatry

1060 PELICAN BAY DR
Daytona Beach, FL 32119

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

NPI 1376974881 (386) 868-1992

Renew Restore Revise Psychiatric Services, LLC

29 mi

Psychiatry

25 FLORIDA PARK DR N STE E
Palm Coast, FL 32137

Reassigned Medicare billing, Florida enrollment

NPI 1891516324 (386) 585-2144

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32119 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

HEATHER SMITH PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1190 PELICAN BAY DR
DAYTONA BEACH, FL 32119

Volusia County (386) 206-8069

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 Shinika Clark's NPI number?

The NPI number for Shinika Clark is 1417679176. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Shinika Clark located?

Shinika Clark practices at 1190 Pelican Bay Dr, Daytona Beach, FL 32119. The listed phone number is (386) 206-8069.

What is Shinika Clark's specialty?

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

Is Shinika Clark enrolled in Medicare?

Yes. Shinika 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 Shinika Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shinika Clark reassigns Medicare benefits to 2 organizations: The Helping Hand Of Tomorrow, Inc (Daytona Beach, FL) and Renew Restore Revise Psychiatric Services, LLC (Palm Coast, FL). 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 Shinika Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shinika Clark accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 2 other insurers list Shinika 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 Shinika Clark was last updated on September 10, 2024. 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.