DONNA CELENE CLARKE PMHNP
NPI 1427244417
Nurse Practitioner - Psychiatric/Mental Health in Midlothian, VA

Active since September 24, 2007PECOS EnrolledAccepts Medicare Assignment
14410 SOMMERVILLE CT STE 101, MIDLOTHIAN, VA 23113(804) 897-9355 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2023, Oct 10, 2023 (2 updates tracked since 2023).

About Donna Celene Clarke Pmhnp NPPES

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

DONNA CELENE CLARKE PMHNP (NPI 1427244417) is an individual psychiatric/mental health provider in Midlothian, Virginia, licensed in Virginia (0024188361) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1427244417
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDONNA CELENE CLARKECredential: PMHNP
Location Address14410 SOMMERVILLE CT STE 101Midlothian, VA 23113-6813
Mailing Address14410 Sommerville Ct Ste 101Midlothian, VA 23113-6813 · (804) 897-9355
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 24, 2007
Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
✔ NPI 1427244417 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 VA · 0024188361
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001176285 (VA)
14410 SOMMERVILLE CT STE 101, Midlothian, VA 23113

Accepted 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

Donna Celene Clarke 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 ID7719418557
PECOS Enrollment IDI20241003000906
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 Donna Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Mental Health
14410 SOMMERVILLE CT, SUITE 101
Midlothian, VA 23113
  • Reassigned Medicare billing, Virginia enrollment
  • 3 clinicians in this Medicare group

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 23113 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Donna Clarke's NPI number?

The NPI number for Donna Clarke is 1427244417. It was assigned to this individual provider in the NPPES registry on September 24, 2007.

Where is Donna Clarke located?

Donna Clarke practices at 14410 Sommerville Ct Ste 101, Midlothian, VA 23113. The listed phone number is (804) 897-9355.

What is Donna Clarke's specialty?

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

Is Donna Clarke enrolled in Medicare?

Yes. Donna Clarke 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 Donna Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Clarke reassigns Medicare benefits to Midlothian Behavioral Health Associates, LLC (Midlothian, VA). 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 Donna Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Clarke accept?

Health plans from Oscar Health list Donna Clarke 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 Donna Clarke was last updated on February 19, 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.