MR. RUSSELL L CLARK FNP-C
NPI 1548641087
Nurse Practitioner - Family in Nashville, TN

Q: What is Russell Clark's NPI number?

The NPI number for Russell Clark is 1548641087. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Q: What is Russell 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 Russell Clark was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 10, 2015PECOS Enrolled

3443 DICKERSON PIKE STE 660, NASHVILLE, TN 37207(615) 988-1109 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 26, 2018, Dec 2, 2017, Nov 9, 2017 and 1 more (4 updates tracked since 2015).

On this page

About Mr. Russell L Clark Fnp-c NPPES

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

MR. RUSSELL L CLARK FNP-C (NPI 1548641087) is an individual family provider in Nashville, Tennessee, licensed in Tennessee (20179) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548641087

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. RUSSELL L CLARKCredential: FNP-C

Location Address3443 DICKERSON PIKE STE 660Nashville, TN 37207-2519

Mailing Address3443 Dickerson Pike Ste 660Nashville, TN 37207-2519 · (615) 988-1109 · Fax (949) 798-7514

Phone(615) 988-1109

Sole ProprietorNo

Enumeration DateJune 10, 2015

Last NPPES UpdateApril 26, 20184 updates tracked since enumeration

✔ NPI 1548641087 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 TN · 20179

3443 DICKERSON PIKE STE 660, Nashville, TN 37207

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Other Identifiers 1

MedicaidQ014516TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Russell L 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37207 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers18 claims18 services$188.73 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 2

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

CLARK FAMILY PRACTICE, PLLC

Clinic/Center (Primary Care)

3443 DICKERSON PIKE STE 660
NASHVILLE, TN 37207

Davidson County (615) 988-1109

CLARK FAMILY MEDICAL PRACTICE, PLLC

Nurse Practitioner (Family)

3443 DICKERSON PIKE STE 660
NASHVILLE, TN 37207

Davidson County (615) 988-1109

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 Russell Clark's NPI number?

The NPI number for Russell Clark is 1548641087. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Russell Clark located?

Russell Clark practices at 3443 Dickerson Pike Ste 660, Nashville, TN 37207. The listed phone number is (615) 988-1109.

What is Russell Clark's specialty?

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

Is Russell Clark enrolled in Medicare?

Yes. Russell Clark is registered in the Medicare PECOS enrollment system.

What insurance does Russell Clark accept?

Health plans from Oscar Insurance Company list Russell 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 Russell Clark was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.