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DR. JEANNINE AVIS CLARK MD
NPI 1457389892
Pediatrics in Bowie, MD

Active since June 28, 2006PECOS Enrolled
6915 LAUREL BOWIE ROAD, SUITE 301, BOWIE, MD 20715(301) 249-8838(301) 249-5334 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeannine Avis Clark Md NPPES

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

DR. JEANNINE AVIS CLARK MD (NPI 1457389892) is an individual pediatrics provider in Bowie, Maryland, licensed in Maryland (D0043862) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457389892
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JEANNINE AVIS CLARKCredential: MD
Location Address6915 LAUREL BOWIE ROAD, SUITE 301Bowie, MD 20715
Mailing Address6915 Laurel Bowie Road, Suite 301Bowie, MD 20715 · (301) 249-8838 · Fax (301) 249-5334
Phone(301) 249-8838
Fax(301) 249-5334
Sole ProprietorYes
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1457389892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0043862
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6915 LAUREL BOWIE ROAD, Bowie, MD 20715
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeannine Avis Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20715 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Jeannine Clark's NPI number?

The NPI number for Jeannine Clark is 1457389892. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Jeannine Clark located?

Jeannine Clark practices at 6915 Laurel Bowie Road Suite 301, Bowie, MD 20715. The listed phone number is (301) 249-8838.

What is Jeannine Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jeannine Clark enrolled in Medicare?

Yes. Jeannine Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeannine Clark was last updated on June 12, 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.