RAVEN CLARK NP
NPI 1427776160
Nurse Practitioner in Marietta, GA
About Raven Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN CLARK NP (NPI 1427776160) is an individual nurse practitioner in Marietta, Georgia, licensed in Georgia (RN259021) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Raven Clark Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Raven Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 clinicians in this Medicare group
Spring, TX 77373
- Reassigned Medicare billing, Georgia enrollment
- 113 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 30066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30066
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 Raven Clark's NPI number?
The NPI number for Raven Clark is 1427776160. It was assigned to this individual provider in the NPPES registry on August 18, 2022.
Where is Raven Clark located?
Raven Clark practices at 100 Piedmont Rd NE, Marietta, GA 30066. The listed phone number is (770) 795-9844.
What is Raven Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Raven Clark enrolled in Medicare?
Yes. Raven 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 Raven Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raven Clark reassigns Medicare benefits to 2 organizations: Minuteclinic LLC (Rockville, MD) and Primary Care PLLC (Spring, TX). 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 Raven Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raven Clark accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Raven 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 Raven Clark was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Raven Clark, NP · NPI 1427776160
Nurse Practitioner physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since August 18, 2022.
## Identity
- **NPI:** 1427776160 (Entity type: Individual)
- **Enumerated:** August 18, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN259021 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 PIEDMONT RD NE, Marietta, GA 30066-3636
- **Phone:** (770) 795-9844
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Minuteclinic LLC (NPI 1134191836, Rockville, MD); Primary Care PLLC (NPI 1770354763, Spring, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427776160) · Data from the CMS NPPES public registry.