JANELL LANICE CLARK CRNP
NPI 1598082059
Nurse Practitioner - Adult Health in Philadelphia, PA
About Janell Lanice Clark Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANELL LANICE CLARK CRNP (NPI 1598082059) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP010694) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Janell Lanice Clark Crnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19126
PHILADELPHIA, PA 19126
PHILADELPHIA, PA 19126
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 Janell Clark's NPI number?
The NPI number for Janell Clark is 1598082059. It was assigned to this individual provider in the NPPES registry on April 23, 2010. The provider is also known as Janell Lanice Butts.
Where is Janell Clark located?
Janell Clark practices at 1738 W Cheltenham Ave, Philadelphia, PA 19126. The listed phone number is (215) 548-3390.
What is Janell Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Janell Clark enrolled in Medicare?
Yes. Janell 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 Janell Clark was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Janell Lanice Clark, CRNP · NPI 1598082059
Adult Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 23, 2010.
## Identity
- **NPI:** 1598082059 (Entity type: Individual)
- **Enumerated:** April 23, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** SP010694 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1738 W CHELTENHAM AVE, Philadelphia, PA 19126-1546
- **Phone:** (215) 548-3390 · **Fax:** (215) 549-8998
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1598082059) · Data from the CMS NPPES public registry.