EMILY KAYE CLARK APRN
NPI 1568744829
Nurse Practitioner in Owensboro, KY

Q: What is Emily Clark's NPI number?

The NPI number for Emily Clark is 1568744829. It was assigned to this individual provider in the NPPES registry on September 13, 2011. The provider is also known as Emily K Black.

Q: What is Emily Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Clark was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 13, 2011PECOS EnrolledAccepts Medicare Assignment

3821 VINCENT STATION DR, OWENSBORO, KY 42303(270) 478-5334(270) 216-6920 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 16, 2024, Mar 3, 2022, Nov 9, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Emily Kaye Clark Aprn NPPES

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

EMILY KAYE CLARK APRN (NPI 1568744829) is an individual nurse practitioner in Owensboro, Kentucky, licensed in Kentucky (3007200) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains a secondary practice location in Owensboro.

NPPES Registry Identity

NPI1568744829

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEMILY KAYE CLARKCredential: APRN

Location Address3821 VINCENT STATION DROwensboro, KY 42303-9315

Mailing AddressPo Box 3276Evansville, IN 47731-3276 · (812) 473-0181 · Fax (812) 473-5822

Phone(270) 478-5334

Fax(270) 216-6920

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 13, 2011

Last NPPES UpdateApril 16, 20244 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1568744829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KY · 3007200✔ Licensed in KY · 1102616

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3821 VINCENT STATION DR, Owensboro, KY 42303

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Other Names 1

Former Name (1)Emily K Black

Secondary Practice Location 1

Location 1815 E Parrish Ave, Suite 420Owensboro, KY 42303-3222 · Phone (270) 688-6590 · Fax (270) 688-6593

Other Identifiers 1

Medicaid7100190860KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Emily Kaye Clark Aprn 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 ID5799950465

PECOS Enrollment IDI20111207000543

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 Reassignment

Medicare enrollment records show Emily Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Specialists Psc

Same address

Obstetrics & Gynecology

3821 VINCENT STATION DR
Owensboro, KY 42303

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Summit Medical Specialists P.S.C
8 clinicians in this Medicare group

NPI 1861928228 (270) 478-5334

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

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

77 services41 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

32 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services18 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

17 services17 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 9

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

DR. SUZANNE MARIE VASS RASHIDIAN D.O.

Obstetrics & Gynecology