SABRINA WILLIS CLARK NP
NPI 1477107704
Nurse Practitioner in Gulfport, MS

Q: What is Sabrina Clark's NPI number?

The NPI number for Sabrina Clark is 1477107704. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Q: What is Sabrina Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sabrina Clark was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 25, 2019PECOS Enrolled

1340 BROAD AVE STE 440, GULFPORT, MS 39501(228) 867-4855 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2025, Dec 27, 2019, Nov 22, 2019 and 1 more (4 updates tracked since 2019).

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About Sabrina Willis Clark Np NPPES

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

SABRINA WILLIS CLARK NP (NPI 1477107704) is an individual nurse practitioner in Gulfport, Mississippi, licensed in Louisiana (207344) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477107704

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSABRINA WILLIS CLARKCredential: NP

Location Address1340 BROAD AVE STE 440Gulfport, MS 39501-2460

Mailing Address1340 Broad Ave Ste 440Gulfport, MS 39501-2460 · (228) 867-4855

Phone(228) 867-4855

Sole ProprietorNo

Enumeration DateJuly 25, 2019

Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1477107704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in LA · 207344

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1340 BROAD AVE STE 440, Gulfport, MS 39501

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Secondary Practice Locations 2

Location 1648 Crestwood DriveCovington, LA 70433 · Phone (985) 805-2555

Location 2433 Plaza St Ste 3ABogalusa, LA 70427-3729 · Phone (985) 730-6970 · Fax (985) 730-7269

Other Identifiers 1

Other207344LA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sabrina Willis Clark Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Sabrina Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hospital At Gulfport

Same address

Urology

1340 BROAD AVE STE 210
Gulfport, MS 39501

Reassigned Medicare billing, Mississippi enrollment
731 clinicians in this Medicare group

NPI 1093142598 (228) 575-1600

Neuro Care Of Louisiana, LLC

57 mi

Neurology

648 CRESTWOOD BLVD
Covington, LA 70433

Reassigned Medicare billing, Mississippi enrollment
11 clinicians in this Medicare group

NPI 1073962528 (985) 805-2555

Monogram Health Professional Services PC

413 mi

Nephrology

5410 MARYLAND WAY STE 400
Brentwood, TN 37027

Reassigned Medicare billing, Louisiana and Mississippi enrollments
Also billed through NPI 1326655986 (Mississippi)
97 clinicians in this Medicare group

NPI 1659987436 (615) 673-4455

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Other Providers at the Same Location NPPES 7

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

ROBERT CHRIS MEYERS NP

Nurse Practitioner