LONNIE W. CLARK CRNA
NPI 1598777450
Nurse Anesthetist, Certified Registered in Woodland Park, CO

Q: What is Lonnie Clark's NPI number?

The NPI number for Lonnie Clark is 1598777450. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Lonnie Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Lonnie Clark was last updated on December 9, 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.

Active since August 12, 2006PECOS Enrolled

16420 W US HIGHWAY 24, WOODLAND PARK, CO 80863(806) 790-3928 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Lonnie W. Clark Crna NPPES

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

LONNIE W. CLARK CRNA (NPI 1598777450) is an individual nurse anesthetist, certified registered in Woodland Park, Colorado, licensed in Texas (690859) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1598777450

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameLONNIE W. CLARKCredential: CRNA

Location Address16420 W US HIGHWAY 24Woodland Park, CO 80863-8760

Mailing Address420 Paisley DrColorado Springs, CO 80906-8205 · (806) 790-3928

Phone(806) 790-3928

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 12, 2006

Last NPPES UpdateDecember 9, 2020

NPPES CertifiedDecember 9, 2020

✔ NPI 1598777450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TX · 690859

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

16420 W US HIGHWAY 24, Woodland Park, CO 80863

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Other Identifiers 11

Medicaid64851729NM

Medicaid200073510AOK

Other86092UTX · Bc/bs

Medicaid179419001TX

Other86091UTX · Hmo Blue

Medicaid202004266NM

Other202004266NM · Presbyterian Commercial

Other147825101TX · Firstcare Commercial

Medicaid67349TX

Medicaid147825100TX

Medicaid90739868CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lonnie W. Clark Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406861038

PECOS Enrollment IDI20081020000188

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

Medicare enrollment records show Lonnie Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Woodland Park Anesthesia LLC

Same address

Nurse Anesthetist, Certified Registered

16420 W US HIGHWAY 24
Woodland Park, CO 80863

Reassigned Medicare billing, Colorado enrollment
3 clinicians in this Medicare group

NPI 1417249996 (719) 687-9989

Diehl Anesthesia Inc

26 mi

Anesthesiology

4606 JACKSON CREEK RD
Sedalia, CO 80135

Reassigned Medicare billing, Colorado enrollment
79 clinicians in this Medicare group

NPI 1467833897 (720) 230-6848

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 6

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

54 services50 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

23 services19 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

16 services16 patients

Anesthesia for other procedure on lower abdomen 00840

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

16 services16 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

13 services13 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80863 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

MRS. MARZELLE CLAASSEN BLACK PT

Physical Therapist