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MRS. MELISSA GAYLE CLARK PA-C
NPI 1598776882
Physician Assistant in Springfield, IL

Active since August 11, 2006PECOS Enrolled
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701(217) 788-0706(217) 525-2535 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Melissa Gayle Clark Pa-c NPPES

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

MRS. MELISSA GAYLE CLARK PA-C (NPI 1598776882) is an individual physician assistant in Springfield, Illinois, licensed in Illinois (085-002601) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598776882
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MELISSA GAYLE CLARKCredential: PA-C
Location Address619 E MASON ST, SUITE 4P57Springfield, IL 62701-1034
Mailing Address619 E Mason St, Suite 4p57Springfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535
Phone(217) 788-0706
Fax(217) 525-2535
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateFebruary 11, 2014
✔ NPI 1598776882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-002601
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
619 E MASON ST, Springfield, IL 62701
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Other Names 1

Former Name (1)Miss Melissa Bostwick Pa-c

Other Identifiers 2

Medicare UPINQ57202
Medicare ID-Type Unspecified30540MMMIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melissa Gayle Clark Pa-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 20

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

CARL E ARENTZEN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Sangamon County (217) 545-7600
STEPHEN H JENNISON M.D.
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
DR. GEORGE EROMOSELE EIGBIRE M.D.
Internal Medicine (Interventional Cardiology)
619 E MASON ST
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
BART L TROY M.D.
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
MARGIE DOUGLAS
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
JENNIFER K BLACK N.P.
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
KOBY KIMBALL PA-C
Physician Assistant
619 E MASON ST
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
MEREDITH FLEMING
Nurse Practitioner (Family)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706

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 Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1598776882. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Miss Melissa Bostwick Pa-C.

Where is Melissa Clark located?

Melissa Clark practices at 619 E Mason St Suite 4p57, Springfield, IL 62701. The listed phone number is (217) 788-0706.

What is Melissa Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melissa Clark enrolled in Medicare?

Yes. Melissa Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Clark was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.