JENNA ELIZABETH CLARK MSN, APRN, FNP-C
NPI 1457027583
Nurse Practitioner - Family in Derry, NH
About Jenna Elizabeth Clark Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA ELIZABETH CLARK MSN, APRN, FNP-C (NPI 1457027583) is an individual family provider in Derry, New Hampshire, licensed in New Hampshire (071655-23) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Jenna Elizabeth Clark Msn, Aprn, Fnp-c 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 Jenna Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Derry, NH 03038
- Reassigned Medicare billing, New Hampshire enrollment
- 80 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 03038 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DERRY, NH 03038
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 Jenna Clark's NPI number?
The NPI number for Jenna Clark is 1457027583. It was assigned to this individual provider in the NPPES registry on August 18, 2021.
Where is Jenna Clark located?
Jenna Clark practices at 6 Tsienneto Rd Ste 100, Derry, NH 03038. The listed phone number is (603) 537-1300.
What is Jenna Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jenna Clark enrolled in Medicare?
Yes. Jenna 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 Jenna Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Clark reassigns Medicare benefits to Derry Medical Center, PA (Derry, NH). 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 Jenna Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenna Clark accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Jenna 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 Jenna Clark was last updated on November 13, 2023. 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.
# Jenna Elizabeth Clark, MSN, APRN, FNP-C · NPI 1457027583
Family physician in Derry, New Hampshire. Individual provider, active in the CMS NPPES registry since August 18, 2021.
## Identity
- **NPI:** 1457027583 (Entity type: Individual)
- **Enumerated:** August 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 071655-23 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 TSIENNETO RD STE 100, Derry, NH 03038-1595
- **Phone:** (603) 537-1300 · **Fax:** (603) 538-1362
## 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:** Derry Medical Center, PA (NPI 1922030493, Derry, NH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 13, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1457027583) · Data from the CMS NPPES public registry.