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PROF. JACKIE LEAH CLARK PHD
NPI 1417951484
Audiologist in Tool, TX

Active since June 08, 2005Accepts Medicare Assignment
601 S TOOL DR, TOOL, TX 75143(903) 432-1932(903) 432-0520 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Jackie Leah Clark Phd NPPES

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

PROF. JACKIE LEAH CLARK PHD (NPI 1417951484) is an individual audiologist in Tool, Texas and active in the NPI registry since June 2005. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1417951484
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NamePROF. JACKIE LEAH CLARKCredential: PHD
Location Address601 S TOOL DRTool, TX 75143-1959
Mailing Address5038 Creekwood DrFlower Mound, TX 75028-1913 · (972) 539-8558 · Fax (214) 905-3022
Phone(903) 432-1932
Fax(903) 432-0520
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 8, 2005
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1417951484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
601 S TOOL DR, Tool, TX 75143
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Other Identifiers 1

Other66993TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Prof. Jackie Leah Clark Phd 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 ID7214930627
PECOS Enrollment IDI20060824000067

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75143 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
$54.84 typical visit price
range $54.84 – $166.88
Typical copayment $13.71 (range $13.71 – $41.72)
Most-billed visit code 99202
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 3

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

DR. ROSS JOSEPH ROESER PH.D.
Audiologist
601 S TOOL DR
KEMP, TX 75143
Henderson County (903) 432-1932
DR. ELIZABETH PAIGE BUELL AUD, PHD
Audiologist
601 S TOOL DR
TOOL, TX 75143
Henderson County (903) 432-1932
CEDAR CREEK HEARING CENTER
Audiologist-Hearing Aid Fitter
601 S TOOL DR
KEMP, TX 75143
Henderson County (903) 432-1932

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 Jackie Clark's NPI number?

The NPI number for Jackie Clark is 1417951484. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Jackie Clark located?

Jackie Clark practices at 601 S Tool Dr, Tool, TX 75143. The listed phone number is (903) 432-1932.

What is Jackie Clark's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Jackie Clark enrolled in Medicare?

Yes. Jackie 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 Jackie Clark accept?

Health plans from UnitedHealthcare list Jackie 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 Jackie Clark was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.