BAILEE CLARK
NPI 1447181656
Nurse Practitioner - Family in Jacksonville, TX
About Bailee Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAILEE CLARK (NPI 1447181656) is an individual family provider in Jacksonville, Texas, licensed in Texas (1021672) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
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
Bailee Clark 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 Reassignment
Medicare enrollment records show Bailee Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canton, TX 75103
- Reassigned Medicare billing, Texas enrollment
- 42 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 75766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Bailee Clark's NPI number?
The NPI number for Bailee Clark is 1447181656. It was assigned to this individual provider in the NPPES registry on May 27, 2026.
Where is Bailee Clark located?
Bailee Clark practices at 1602 S Jackson St, Jacksonville, TX 75766. The listed phone number is (903) 721-3093.
What is Bailee Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bailee Clark enrolled in Medicare?
Yes. Bailee 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 Bailee Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bailee Clark reassigns Medicare benefits to Ut East Texas Urgent Care Centers, PLLC (Canton, TX). 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 Bailee Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bailee Clark was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Bailee Clark · NPI 1447181656
Family physician in Jacksonville, Texas. Individual provider, active in the CMS NPPES registry since May 27, 2026.
## Identity
- **NPI:** 1447181656 (Entity type: Individual)
- **Enumerated:** May 27, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1021672 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1602 S JACKSON ST, Jacksonville, TX 75766-3028
- **Phone:** (903) 721-3093
## 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:** Ut East Texas Urgent Care Centers, PLLC (NPI 1356974281, Canton, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1447181656) · Data from the CMS NPPES public registry.