JENNA ELIZABETH CLARK MSN, APRN, FNP-C
NPI 1457027583
Nurse Practitioner - Family in Derry, NH

Active since August 18, 2021PECOS EnrolledAccepts Medicare Assignment
78.61/100
CMS Quality Rating
6 TSIENNETO RD STE 100, DERRY, NH 03038(603) 537-1300(603) 538-1362 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Sep 15, 2021, Aug 18, 2021 (3 updates tracked since 2021).

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

NPI1457027583
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNA ELIZABETH CLARKCredential: MSN, APRN, FNP-C
Location Address6 TSIENNETO RD STE 100Derry, NH 03038-1595
Mailing Address6 Buttrick Rd Ste 102Londonderry, NH 03053-3417 · (603) 537-1300
Fax(603) 538-1362
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 18, 2021
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
NPI 1457027583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NH · 071655-23
6 TSIENNETO RD STE 100, Derry, NH 03038

Accepted 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

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.

PECOS PAC ID4587061122
PECOS Enrollment IDI20210923001866
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.

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.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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.

78.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.22
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$51.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
6 TSIENNETO RD STE 100
DERRY, NH 03038
Physician Assistant
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner (Family)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Family Medicine (Sports Medicine)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner (Family)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner
6 TSIENNETO RD STE 100
DERRY, NH 03038
Family Medicine
6 TSIENNETO RD STE 100
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.

What insurance does Jenna Clark accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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.