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NICHOLE DEANN CLARK FNP
NPI 1548464936
Nurse Practitioner - Family in Clinton, AR

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
145 SHAKERAG ROAD, CLINTON, AR 72031(501) 745-7161(501) 745-8714 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nichole Deann Clark Fnp NPPES

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

NICHOLE DEANN CLARK FNP (NPI 1548464936) is an individual family provider in Clinton, Arkansas, licensed in Arkansas (A01919) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2004).

NPPES Registry Identity

NPI1548464936
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLE DEANN CLARKCredential: FNP
Location Address145 SHAKERAG ROADClinton, AR 72031-6657
Mailing AddressPo Box 1333Clinton, AR 72031 · (501) 745-7161 · Fax (501) 745-8714
Phone(501) 745-7161
Fax(501) 745-8714
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2004
Enumeration DateJune 12, 2007
Last NPPES UpdateNovember 4, 2011
✔ NPI 1548464936 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 AR · A01919
145 SHAKERAG ROAD, Clinton, AR 72031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Nichole Deann Clark Fnp 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 ID5597797506
PECOS Enrollment IDI20100219000050
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 4

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.

Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
97 services97 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
91 services63 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
68 services31 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72031 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers64 claims184 services$5.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers35 claims58 services$0.82 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$43.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers31 claims31 services$118.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers31 claims93 services$41.42 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers14 claims68 services$25.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nichole Clark's NPI number?

The NPI number for Nichole Clark is 1548464936. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Nichole Clark located?

Nichole Clark practices at 145 Shakerag Road, Clinton, AR 72031. The listed phone number is (501) 745-7161.

What is Nichole Clark's specialty?

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

Is Nichole Clark enrolled in Medicare?

Yes. Nichole 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.

What insurance does Nichole Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Nichole 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 Nichole Clark was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.