TERESA ANN CLARK FNP-C
NPI 1497429948
Nurse Practitioner - Family in Palm Harbor, FL

Active since August 06, 2021PECOS EnrolledAccepts Medicare Assignment
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684(727) 784-2848 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Aug 12, 2021, Aug 6, 2021 (3 updates tracked since 2021).

About Teresa Ann Clark Fnp-c NPPES

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

TERESA ANN CLARK FNP-C (NPI 1497429948) is an individual family provider in Palm Harbor, Florida, licensed in New York (348054) 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

NPI1497429948
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA ANN CLARKCredential: FNP-C
Location Address3825 COUNTRYSIDE BLVD NPalm Harbor, FL 34684-4928
Mailing Address3825 Countryside Blvd NPalm Harbor, FL 34684-4928 · (727) 784-2848
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 6, 2021
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1497429948 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 NY · 348054
3825 COUNTRYSIDE BLVD N, Palm Harbor, FL 34684

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

Teresa Ann 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 ID143626036
PECOS Enrollment IDI20230817001044
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 13

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
596 services137 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
171 services25 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
164 services123 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.
144 services29 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
131 services120 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
77 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$14.32 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 20

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

Physical Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Physical Therapist
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Skilled Nursing Facility
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Speech-Language Pathologist
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Occupational Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Speech-Language Pathologist
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Occupational Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Physical Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684

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 Teresa Clark's NPI number?

The NPI number for Teresa Clark is 1497429948. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Where is Teresa Clark located?

Teresa Clark practices at 3825 Countryside Blvd N, Palm Harbor, FL 34684. The listed phone number is (727) 784-2848.

What is Teresa Clark's specialty?

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

Is Teresa Clark enrolled in Medicare?

Yes. Teresa 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.

When was this NPI record last updated?

The NPPES record for Teresa Clark was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.