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

Q: 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.

Q: What is Teresa 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 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 17 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 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: October 25, 2026.

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

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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

Phone(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

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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

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.

Medicare Billing Reassignments

Medicare enrollment records show Teresa Clark reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mana Health Partners PA

52 mi

Internal Medicine

1507 S TUTTLE AVE
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
155 clinicians in this Medicare group

NPI 1437925047 (732) 730-7480

Sunshine Health Partners, LLC

88 mi

Internal Medicine

80 W LUCERNE CIR
Orlando, FL 32801

Reassigned Medicare billing, Florida enrollment
120 clinicians in this Medicare group

NPI 1710595640 (337) 991-9276

Ch Specialty Services Fl LLC

220 mi

Internal Medicine

2332 GALIANO ST FL 2
Coral Gables, FL 33134

Reassigned Medicare billing, Florida enrollment
111 clinicians in this Medicare group

NPI 1043919822 (337) 408-0797

Curana Health Of Florida LLC

220 mi

Internal Medicine

2332 GALIANO ST FL 2
Coral Gables, FL 33134

Reassigned Medicare billing, Florida enrollment
119 clinicians in this Medicare group

NPI 1013628676 (337) 991-9276

Wellnow Urgent Care, PC

1,101 mi

Urgent Care

7375 OSWEGO RD, SUITE1
Liverpool, NY 13090

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Wellnow Urgent Care, P.C.
511 clinicians in this Medicare group

NPI 1669825162 (716) 699-9032

Nott Street Medical, PLLC

1,131 mi

Internal Medicine

1150 NOTT ST
Schenectady, NY 12308

Reassigned Medicare billing, New York enrollment
6 clinicians in this Medicare group

NPI 1154330892 (518) 374-1655

Curana Health Of New Mexico LLC

1,472 mi

Internal Medicine

206 S CORONADO AVE
Espanola, NM 87532

Reassigned Medicare billing, Florida enrollment
20 clinicians in this Medicare group

NPI 1598352015 (337) 991-9276

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 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

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

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

72 services19 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

37 services19 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

26 services14 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.

24 services24 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

18 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 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.

12 services12 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.

NATHAN HERNANDEZ PTA

Physical Therapy Assistant