JARED DALE CLARK APN
NPI 1467011239
Nurse Practitioner - Gerontology in New Boston, TX

Q: What is Jared Clark's NPI number?

The NPI number for Jared Clark is 1467011239. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Q: What is Jared Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jared Clark was last updated on June 16, 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.

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment

114 W US HIGHWAY 82, NEW BOSTON, TX 75570(479) 530-3245(479) 530-3245 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 19, 2025, Aug 28, 2023, Jul 7, 2022 and 1 more (4 updates tracked since 2019).

On this page

About Jared Dale Clark Apn NPPES

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

JARED DALE CLARK APN (NPI 1467011239) is an individual gerontology provider in New Boston, Texas, licensed in Arkansas (215134) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467011239

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameJARED DALE CLARKCredential: APN

Location Address114 W US HIGHWAY 82New Boston, TX 75570-2804

Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 927-1764

Phone(479) 530-3245

Fax(479) 530-3245

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 6, 2019

Last NPPES UpdateJune 16, 20264 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1467011239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in AR · 215134✔ Licensed in TX · AP141588

114 W US HIGHWAY 82, New Boston, TX 75570

Open in Google Maps ↗

Other Identifiers 1

OtherAP141588TX · Apn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.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

Jared Dale Clark Apn 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 ID6406182260

PECOS Enrollment IDI20190731003397, I20210413001040

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.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450801

Location2600 St Michael DrTexarkana, TX 75503 · Bowie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75570 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$83.83 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.22 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.

CHRISTINA WADE

Nurse Practitioner (Family)

114 W US HIGHWAY 82
NEW BOSTON, TX 75570

Bowie County (479) 530-3245

NEW BOSTON MEDICAL GROUP LLP

Nurse Practitioner

114 W US HIGHWAY 82
NEW BOSTON, TX 75570

Bowie County (903) 628-0422

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 Jared Clark's NPI number?

The NPI number for Jared Clark is 1467011239. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Jared Clark located?

Jared Clark practices at 114 W Us Highway 82, New Boston, TX 75570. The listed phone number is (479) 530-3245.

What is Jared Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jared Clark enrolled in Medicare?

Yes. Jared 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 Jared Clark accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Health Advantage and Octave and 1 other insurer list Jared 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.

Is Jared Clark affiliated with any hospitals?

According to CMS data, Jared Clark is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Jared Clark was last updated on June 16, 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.