SUSANNE CLARK NP
NPI 1609648021
Nurse Practitioner in Cleveland, TN
About Susanne Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANNE CLARK NP (NPI 1609648021) is an individual nurse practitioner in Cleveland, Tennessee, licensed in Tennessee (35006) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Susanne Clark Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Susanne Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, TN 37312
- Reassigned Medicare billing, Tennessee enrollment
- 15 clinicians in this Medicare group
Chattanooga, TN 37406
- Reassigned Medicare billing, Tennessee enrollment
- 533 clinicians in this Medicare group
Chattanooga, TN 37403
- Reassigned Medicare billing, Tennessee enrollment
- 679 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Erlanger Medical Center
Acute Care Hospitals · Chattanooga, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37312 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Susanne Clark's NPI number?
The NPI number for Susanne Clark is 1609648021. It was assigned to this individual provider in the NPPES registry on October 30, 2023.
Where is Susanne Clark located?
Susanne Clark practices at 3740 Ocoee Pl NW Ste 101, Cleveland, TN 37312. The listed phone number is (423) 339-7107.
What is Susanne Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Susanne Clark enrolled in Medicare?
Yes. Susanne 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.
Which organizations bill Medicare for Susanne Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susanne Clark reassigns Medicare benefits to 3 organizations: Kaful Double Portion Family Practice, Inc (Cleveland, TN), Chattanooga Hamilton County Hospital Authority (Chattanooga, TN) and Erlanger Health (Chattanooga, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susanne Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susanne Clark accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Susanne Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Susanne Clark affiliated with any hospitals?
According to CMS data, Susanne Clark is affiliated with Erlanger Medical Center.
When was this NPI record last updated?
The NPPES record for Susanne Clark was last updated on June 28, 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.
# Susanne Clark, NP · NPI 1609648021
Nurse Practitioner physician in Cleveland, Tennessee. Individual provider, active in the CMS NPPES registry since October 30, 2023.
## Identity
- **NPI:** 1609648021 (Entity type: Individual)
- **Enumerated:** October 30, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 35006 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3740 OCOEE PL NW STE 101, Cleveland, TN 37312-5635
- **Phone:** (423) 339-7107
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kaful Double Portion Family Practice, Inc (NPI 1386049476, Cleveland, TN); Chattanooga Hamilton County Hospital Authority (NPI 1609961549, Chattanooga, TN); Erlanger Health (NPI 1477256303, Chattanooga, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609648021) · Data from the CMS NPPES public registry.