BERNICE MONIQUE CLARK APRN
NPI 1497563936
Nurse Practitioner - Psychiatric/Mental Health in Mishawaka, IN
About Bernice Monique Clark Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERNICE MONIQUE CLARK APRN (NPI 1497563936) is an individual psychiatric/mental health provider in Mishawaka, Indiana, licensed in Indiana (71016172A) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
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
Bernice Monique Clark Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Bernice Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46204
- Reassigned Medicare billing, Indiana enrollment
- 210 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
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 Bernice Clark's NPI number?
The NPI number for Bernice Clark is 1497563936. It was assigned to this individual provider in the NPPES registry on December 30, 2024.
Where is Bernice Clark located?
Bernice Clark practices at 60205 Bodnar Blvd, Mishawaka, IN 46544. The listed phone number is (574) 325-5961.
What is Bernice Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bernice Clark enrolled in Medicare?
Yes. Bernice 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 organization bills Medicare for Bernice Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bernice Clark reassigns Medicare benefits to Eventus Ecs, Inc (Indianapolis, IN). The 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 Bernice Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bernice Clark accept?
Health plans from Anthem Blue Cross and Blue Shield list Bernice 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.
When was this NPI record last updated?
The NPPES record for Bernice Clark was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Bernice Monique Clark, APRN · NPI 1497563936
Psychiatric/Mental Health physician in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since December 30, 2024.
## Identity
- **NPI:** 1497563936 (Entity type: Individual)
- **Enumerated:** December 30, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 71016172A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 60205 BODNAR BLVD, Mishawaka, IN 46544-9342
- **Phone:** (574) 325-5961
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Eventus Ecs, Inc (NPI 1073353496, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497563936) · Data from the CMS NPPES public registry.