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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since June 10, 2015PECOS Enrolled
3443 DICKERSON PIKE STE 320, NASHVILLE, TN 37207(615) 988-9787(615) 988-9797 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, Apr 26, 2018, Dec 2, 2017 and 2 more (5 updates tracked since 2015).

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 320Nashville, TN 37207-2523
Mailing Address3443 Dickerson Pike Ste 320Nashville, TN 37207-2523 · (615) 988-9787 · Fax (615) 988-9797
Phone(615) 988-9787
Fax(615) 988-9797
Sole ProprietorNo
Enumeration DateJune 10, 2015
Last NPPES UpdateOctober 1, 20265 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ 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 320, Nashville, TN 37207
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Russell Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

App Of Tennessee Hm, PLLC
50 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Sciometrix Inc
745 mi
General Practice
3350 VICTORY BLVD
Staten Island, NY 10314
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1457065591 (860) 335-5064

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 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 3

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

TENNESSEE BREATHE FREE SINUS & ALLERGY CENTERS PLLC
Otolaryngology
3443 DICKERSON PIKE STE 320
NASHVILLE, TN 37207
Davidson County (805) 210-5491
KARINA JIMENEZ MSN, FNP-C
Nurse Practitioner (Family)
3443 DICKERSON PIKE STE 320
NASHVILLE, TN 37207
Davidson County (615) 988-9787
STEVEN DANIEL ENRICH MD
Otolaryngology
3443 DICKERSON PIKE STE 320
NASHVILLE, TN 37207
Davidson County (615) 988-9787

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 320, Nashville, TN 37207. The listed phone number is (615) 988-9787.

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.

Which organizations bill Medicare for Russell Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Clark reassigns Medicare benefits to 2 organizations: App Of Tennessee Hm, PLLC (Shelbyville, TN) and Sciometrix Inc (Staten Island, NY). Each 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 Russell Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Russell Clark was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.