SUSANNE CLARK NP
NPI 1609648021
Nurse Practitioner in Cleveland, TN

Q: 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.

Q: What is Susanne Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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.

Active since October 30, 2023PECOS EnrolledAccepts Medicare Assignment

3740 OCOEE PL NW STE 101, CLEVELAND, TN 37312(423) 339-7107 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2024, Oct 30, 2023 (2 updates tracked since 2023).

On this page

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

NPI1609648021

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSANNE CLARKCredential: NP

Location Address3740 OCOEE PL NW STE 101Cleveland, TN 37312-5635

Mailing Address3740 Ocoee Pl Nw Ste 101Cleveland, TN 37312-5635 · (423) 339-7107

Phone(423) 339-7107

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 30, 2023

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1609648021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 35006

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3740 OCOEE PL NW STE 101, Cleveland, TN 37312

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.Insurance ›

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

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.

PECOS PAC ID7416495478

PECOS Enrollment IDI20240821003254

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.

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, TN

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440104

Location975 E 3rd StChattanooga, TN 37403 · Hamilton County

Emergency services Birthing friendly

Physician 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.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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 4

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

JENNI HAMPTON

Behavior Analyst

3740 OCOEE PL NW STE 101
CLEVELAND, TN 37312

Bradley County (423) 805-9888

TENNESSEE BEHAVIORAL THERAPY CLEVELAND

Behavior Analyst

3740 OCOEE PL NW STE 101
CLEVELAND, TN 37312

Bradley County (423) 805-9888

JOSHUA C NORDEAN

Counselor (Professional)

3740 OCOEE PL NW STE 101
CLEVELAND, TN 37312

Bradley County (423) 443-3336

AMANDA HICKS M.S., LMFT

Marriage & Family Therapist

3740 OCOEE PL NW STE 101
CLEVELAND, TN 37312

Bradley County (423) 443-3336

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.

What insurance does Susanne Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Magnolia Health and 5 other insurers 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.