MS. ELIZABETH MAURINE CLARK APRN, FNP-BC - NPI 1548514367

Q: What is Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1548514367. It was assigned to this individual provider in the NPPES registry on October 31, 2012. The provider is also known as Ms. Elizabeth Maurine Iskander Aprn, Fnp-Bc.

Q: What is Elizabeth 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 Elizabeth Clark was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Ms. Elizabeth Maurine Clark Aprn, Fnp-bc NPPES

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

MS. ELIZABETH MAURINE CLARK APRN, FNP-BC (NPI 1548514367) is an individual family provider in Dallas, Texas, licensed in Texas (743837) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548514367

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ELIZABETH MAURINE CLARKCredential: APRN, FNP-BC

Location Address6301 GASTON AVE STE 100WDallas, TX 75214

Mailing Address6301 Gaston Ave Ste 100wDallas, TX 75214-6273 · (214) 827-3610 · Fax (214) 821-4017

Phone(214) 827-3610

Fax(214) 821-4017

Sole ProprietorYes

Enumeration DateOctober 31, 2012

Last NPPES UpdateJune 24, 2019

✔ NPI 1548514367 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 TX · 743837

6301 GASTON AVE STE 100W, Dallas, TX 75214

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Other Names 1

Former Name (1)Ms. Elizabeth Maurine Iskander Aprn, Fnp-bc

Secondary Practice Locations 2

Location 14801 Troup Hwy, TylerTyler, TX 75703-2356 · Phone (903) 526-7055

Location 22821 George Bush Hwy Ste 303Richardson, TX 75082-4280 · Phone (214) 540-1400 · Fax (214) 821-4017

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth Maurine Clark Aprn, Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75214 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

Other Providers at the Same Location NPPES 7

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

NOLAN BRUCE JENEVEIN M.D.

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