ALISON L. CLARK CNM
NPI 1609858166
Advanced Practice Midwife in Las Cruces, NM

NPI Status: Active since November 18, 2005

Contact Information

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005
Phone: (575) 556-8200
Fax: (575) 521-7199

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  • Individual
  • Female
  • Years of Experience 11
  • Advanced Practice Midwife
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALISON CLARK

This page provides the complete NPI Profile along with additional information for Alison Clark, a provider established in Las Cruces, New Mexico with a medical specialization in Advanced Practice Midwife and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1609858166 assigned on November 2005. The practitioner's primary taxonomy code is 367A00000X with license number 696 (NM). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1609858166
Provider Name
ALISON L. CLARK CNM
Gender
Female
Entity Type
Individual
Location Address
385 CALLE DE ALEGRA BLDG C LAS CRUCES, NM 88005
Location Phone
(575) 556-8200
Location Fax
(575) 521-7199
Mailing Address
385 CALLE DE ALEGRA BLDG. A LAS CRUCES, NM 88005
Mailing Phone
(575) 526-1105
Mailing Fax
(575) 521-7199
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
11-18-2005
Last Update Date
08-30-2018
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Location Map

Secondary Locations

  • 390 Calle De Alegra
    Las Cruces, NM 88005
    (575) 556-8200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
696
License State
NM
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

R868545 (MS)
2367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

AP03090 (LA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 4000 Indiv Med Deductible - EPO
  • Connect Silver 6500 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
58003827MEDICAID (05)NM 
414370YRNDOTHER (01)NMMEDICARE

Medicare Participation & PECOS Enrollment Status

Alison Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Alison Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860471943

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150611001023

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.19 for a new patient copayment and $17 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 88005 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.79
  • Minimum New Patient Price $54.26
  • Maximum New Patient Price $166.8
  • Average New Patient Copayment $21.19
  • Minimum New Patient Copayment $13.56
  • Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68
  • Minimum Established Patient Price $17
  • Maximum Established Patient Price $135.35
  • Average Established Patient Copayment $17
  • Minimum Established Patient Copayment $4.25
  • Maximum Established Patient Copayment $33.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ALISON L. CLARK CNM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609858166
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260916516112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 5 + 1 + 6 + 1 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1609858166 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

GABRIELLA M DELLA - RATTA RDH

Dental Hygienist

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 532-1933

MS. MONA RAE WAUGH CNM

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

MRS. MARY ROSE KORDUNER CNM

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

IFEYINWA OBI CNM

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

MS. MARTINA JASMIN GRANADO CNM

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

MARIA VANESSA MENANTEAU CNM, FNP

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

MR. ANTHONY THOMAS ESQUIBEL M.A., LMHC

Counselor

(Mental Health)

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 647-2891

ANNA LOUISE WHITE CNM

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

STEPHANIE MARGARET PEACE MD

Obstetrics & Gynecology

(Obstetrics)

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

MARY LYN WOFFORD CNM

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 521-7181

LA CLINICA DE FAMILIA, INCORPORATED

Clinic/Center

(Federally Qualified Health Center (FQHC))

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 521-7181

DR. BRITTANY KALISSE ODOM M.D.

Pediatrics

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 674-2880

PATRICIA MARIA AGUIRRE LMHC

Counselor

(Mental Health)

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

MORGAN R ALEXANDER CNM

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

DARA ANNE HICKS SOM MD

Obstetrics & Gynecology

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

YVETTE BORDE CNM

Advanced Practice Midwife

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

AMELIA CLEMENT MD

Obstetrics & Gynecology

385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM
ZIP 88005

(575) 556-8200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609858166, enumerated as an "individual" on November 18, 2005.

The provider is located at 385 CALLE DE ALEGRA BLDG C LAS CRUCES, NM 88005 and the phone number is (575) 556-8200.

Advanced Practice Midwife with taxonomy code 367A00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.