MELISSA ANN CLARK FNP-C
NPI 1508240938
Nurse Practitioner - Family in San Francisco, CA

Q: What is Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1508240938. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Melissa 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 Melissa Clark was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 15, 2015PECOS Enrolled

2 EMBARCADERO CTR LBBY LEVEL, SAN FRANCISCO, CA 94111(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Nov 6, 2020, Feb 7, 2017 (3 updates tracked since 2017).

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About Melissa Ann Clark Fnp-c NPPES

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

MELISSA ANN CLARK FNP-C (NPI 1508240938) is an individual family provider in San Francisco, California, licensed in California (95002674) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508240938

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA ANN CLARKCredential: FNP-C

Location Address2 EMBARCADERO CTR LBBY LEVELSan Francisco, CA 94111-3823

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791

Phone(888) 663-6331

Fax(415) 252-7176

Sole ProprietorNo

Enumeration DateJuly 15, 2015

Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1508240938 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 CA · 95002674

2 EMBARCADERO CTR LBBY LEVEL, San Francisco, CA 94111

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Secondary Practice Locations 2

Location 11850 Spring Ridge DrSusanville, CA 96130-6100 · Phone (530) 251-5000

Location 2123 Atlantic AveLong Beach, CA 90802-5121 · Phone (562) 726-1383

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, HMSA.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Ann Clark Fnp-c 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 Reassignment

Medicare enrollment records show Melissa Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America - California

1.3 mi

Emergency Medicine

900 HYDE STREET
San Francisco, CA 94109

Reassigned Medicare billing, California enrollment
2,323 clinicians in this Medicare group

NPI 1396790812 (415) 353-6000

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 94111 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier14 claims14 services$1.67 avg. paid by Medicare

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

2 suppliers85 claims85 services$104.55 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.

MS. MOENSANIA CARISA PHILLIPS NURSE PRACTITIONER

Nurse Practitioner (Family)