Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ASHLEY T. CLARK FNP-C
NPI 1457993677
Nurse Practitioner - Family in Myrtle Beach, SC

Q: What is Ashley Clark's NPI number?

The NPI number for Ashley Clark is 1457993677. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Q: What is Ashley Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Clark was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment

2050 CORPORATE CENTRE DR, MYRTLE BEACH, SC 29577(843) 698-3120(888) 900-2640 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Aug 14, 2026, Apr 2, 2026 and 3 more (6 updates tracked since 2019).

On this page

About Ashley T. Clark Fnp-c NPPES

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

ASHLEY T. CLARK FNP-C (NPI 1457993677) is an individual family provider in Myrtle Beach, South Carolina, licensed in South Carolina (23387) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457993677

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY T. CLARKCredential: FNP-C

Location Address2050 CORPORATE CENTRE DRMyrtle Beach, SC 29577-7428

Mailing Address2050 Corporate Centre DrMyrtle Beach, SC 29577-7428 · (843) 698-3120 · Fax (888) 900-2640

Phone(843) 698-3120

Fax(888) 900-2640

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 9, 2019

Last NPPES UpdateSeptember 3, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1457993677 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

Licenses✔ Licensed in SC · 23387✔ Licensed in KY · 4054773✔ Licensed in AZ · 342372✔ Licensed in MA · RN10048819

2050 CORPORATE CENTRE DR, Myrtle Beach, SC 29577

Open in Google Maps ↗

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

Ashley T. Clark 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 ID8628402229

PECOS Enrollment IDI20260423001858

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.

Medicare Billing Reassignments

Medicare enrollment records show Ashley Clark reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heartland Hospice Services, LLC

Same address

Hospice and Palliative Medicine

2050 CORPORATE CENTRE DR STE 220
Myrtle Beach, SC 29577

Reassigned Medicare billing, South Carolina enrollment
7 clinicians in this Medicare group

NPI 1144965971 (843) 444-0813

Mid-South Home Care Services, LLC

Same address

Hospice and Palliative Medicine

2050 CORPORATE CENTRE DR STE 220
Myrtle Beach, SC 29577

Reassigned Medicare billing, South Carolina enrollment
19 clinicians in this Medicare group

NPI 1033990544 (704) 664-2876

Palmetto Primary Care Physicians, LLC

12 mi

Physical Therapy

912 INLET SQUARE DR
Murrells Inlet, SC 29576

Reassigned Medicare billing, South Carolina enrollment
290 clinicians in this Medicare group

NPI 1043808132 (843) 350-6150

Hcr Manorcare Medical Services Of Florida LLC

604 mi

Nurse Practitioner

333 N SUMMIT ST, 7TH FLOOR
Toledo, OH 43604

Reassigned Medicare billing, South Carolina enrollment
8 clinicians in this Medicare group

NPI 1386750420 (419) 252-6018

Molina Care Connections, LLC.

2,250 mi

Nurse Practitioner

200 OCEANGATE STE 100
Long Beach, CA 90802

Reassigned Medicare billing, Arizona, Idaho, Kentucky, Nebraska and South Carolina enrollments
17 clinicians in this Medicare group

NPI 1407243223 (888) 562-5442

Molina Healthcare Of Washington, Inc

2,433 mi

Family Medicine

21540 30TH DR SE STE 400
Bothell, WA 98021

Reassigned Medicare billing, Washington enrollment
207 clinicians in this Medicare group

NPI 1659897163 (888) 562-5442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

193 services58 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

87 services35 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

65 services61 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29577 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

Seat attachment, walker E0156

DME-Other DME · category DE000N

1 supplier11 claims11 services$1.65 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN COURTNEY TASKA PT

Physical Therapist

2050 CORPORATE CENTRE DR
MYRTLE BEACH, SC 29577

Horry County (843) 443-9368

PROGRESSIVE PHYSICAL THERAPY, PA

Physical Therapist

2050 CORPORATE CENTRE DR, SUITE 100
MYRTLE BEACH, SC 29577

Horry County (843) 443-9368

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 Ashley Clark's NPI number?

The NPI number for Ashley Clark is 1457993677. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Ashley Clark located?

Ashley Clark practices at 2050 Corporate Centre Dr, Myrtle Beach, SC 29577. The listed phone number is (843) 698-3120.

What is Ashley Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Clark enrolled in Medicare?

Yes. Ashley 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 Ashley Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Clark reassigns Medicare benefits to 6 organizations: Heartland Hospice Services, LLC (Myrtle Beach, SC), Mid-South Home Care Services, LLC (Myrtle Beach, SC), Palmetto Primary Care Physicians, LLC (Murrells Inlet, SC), Hcr Manorcare Medical Services Of Florida LLC (Toledo, OH), Molina Care Connections, LLC. (Long Beach, CA) and 1 more organization, listed in the Medicare section above. 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 Ashley 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 Ashley Clark was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.