JENNIFER P CLARK PA-C
NPI 1588092167
Physician Assistant - Medical in Breckenridge, CO

Active since October 17, 2013PECOS EnrolledAccepts Medicare Assignment
429 N PARK AVE, BRECKENRIDGE, CO 80424(970) 547-9200(970) 262-2196 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Nov 6, 2019, Oct 29, 2019 (3 updates tracked since 2019).

About Jennifer P Clark Pa-c NPPES

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

JENNIFER P CLARK PA-C (NPI 1588092167) is an individual medical provider in Breckenridge, Colorado, licensed in Colorado (PA.0003835) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1588092167
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER P CLARKCredential: PA-C
Location Address429 N PARK AVEBreckenridge, CO 80424
Mailing AddressPo Box 800022Kansas City, MO 64170-0022 · (800) 953-0104 · Fax (303) 765-6640
Fax(970) 262-2196
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 17, 2013
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1588092167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0003835
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0003835 (CO)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA.0003835 (CO)
429 N PARK AVE, Breckenridge, CO 80424

Other Names 1

Former Name (1)Jennifer L Phillips Pa-c

Other Identifiers 1

Medicaid3583007CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer P Clark Pa-c 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 ID8325278443
PECOS Enrollment IDI20140311000189
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.

Areas of Expertise CMS Part B claims 11

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.
132 services82 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.
131 services90 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.
82 services62 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.
65 services65 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services15 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471
DME-Other DME · category DE001N
1 supplier11 claims11 services$291.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$45.57 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

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

Family Medicine
429 N PARK AVE
BRECKENRIDGE, CO 80424

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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1588092167. It was assigned to this individual provider in the NPPES registry on October 17, 2013. The provider is also known as Jennifer L Phillips Pa-C.

Where is Jennifer Clark located?

Jennifer Clark practices at 429 N Park Ave, Breckenridge, CO 80424. The listed phone number is (970) 547-9200.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Clark enrolled in Medicare?

Yes. Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.