LORI CLARK ACNP
NPI 1568094530
Nurse Practitioner - Critical Care Medicine in Elyria, OH

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
630 E RIVER ST, ELYRIA, OH 44035(440) 329-7500 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2020, Feb 7, 2020 (2 updates tracked since 2020).

About Lori Clark Acnp NPPES

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

LORI CLARK ACNP (NPI 1568094530) is an individual critical care medicine provider in Elyria, Ohio, licensed in Ohio (APRN.CNP.026206) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Lehigh Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568094530
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameLORI CLARKCredential: ACNP
Location Address630 E RIVER STElyria, OH 44035-5902
Mailing Address6347 Livia LnMedina, OH 44256-7765 · (440) 454-0708
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 7, 2020
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
✔ NPI 1568094530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in OH · APRN.CNP.026206
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 026206 (OH)
630 E RIVER ST, Elyria, OH 44035

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Clark Acnp 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 ID2769810969
PECOS Enrollment IDI20221208003112
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

8

Medicare enrollment records show Lori Clark reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
630 E RIVER ST
Elyria, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 106 clinicians in this Medicare group
Pulmonary Disease
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
Long Term Care Hospital
1500 LEE BLVD FL 3
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Nchmd Inc
  • 808 clinicians in this Medicare group
Internal Medicine
13607 PINE VILLA LN
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 139 clinicians in this Medicare group
Critical Care Medicine
6101 PINE RIDGE RD
Naples, FL 34119
  • Reassigned Medicare billing, Florida enrollment
  • 29 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Regional Medical Center

Acute Care Hospitals · Lehigh Acres, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100107
Location1500 Lee BlvdLehigh Acres, FL 33936 · Lee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

Nurse Anesthetist, Certified Registered
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Critical Care Medicine)
630 E RIVER ST
ELYRIA, OH 44035
Physician Assistant
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Family)
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Emergency Medicine
630 E RIVER ST
ELYRIA, OH 44035
Anesthesiology
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035

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 Lori Clark's NPI number?

The NPI number for Lori Clark is 1568094530. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Lori Clark located?

Lori Clark practices at 630 E River St, Elyria, OH 44035. The listed phone number is (440) 329-7500.

What is Lori Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Lori Clark enrolled in Medicare?

Yes. Lori 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.

Which organizations bill Medicare for Lori Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Clark reassigns Medicare benefits to 8 organizations: Elyria Anesthesia Incorporated (Elyria, OH), Community Intensivists, LLC (Middleburg Heights, OH), North East Ohio Group Practice LLC (Middleburg Heights, OH), University Hospitals Medical Group Inc (Cleveland, OH), Florida Hospital Medical Group Inc (Orlando, FL) and 3 more organizations, listed in the Medicare section above. 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 Lori Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Clark accept?

Health plans from AmeriHealth Caritas Next and Molina Healthcare list Lori 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.

Is Lori Clark affiliated with any hospitals?

According to CMS data, Lori Clark is affiliated with Lehigh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lori Clark was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.