DAVID J CLARK C.R.N.A.
NPI 1609890607
Nurse Anesthetist, Certified Registered in Brownsville, TX

Q: What is David Clark's NPI number?

The NPI number for David Clark is 1609890607. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is David 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 David Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 26, 2006Accepts Medicare Assignment

1072 E LOS EBANOS BLVD, BROWNSVILLE, TX 78520(956) 541-1278(956) 541-2854 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About David J Clark C.r.n.a. NPPES

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

DAVID J CLARK C.R.N.A. (NPI 1609890607) is an individual nurse anesthetist, certified registered in Brownsville, Texas, licensed in Texas (539933) and active in the NPI registry since July 2006. He is affiliated with Montgomery County Memorial Hospital and is a graduate of Other (1992).

NPPES Registry Identity

NPI1609890607

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDAVID J CLARKCredential: C.R.N.A.

Location Address1072 E LOS EBANOS BLVDBrownsville, TX 78520-9988

Mailing AddressPo Box 3687Brownsville, TX 78523-3687 · (956) 541-1278 · Fax (956) 541-2854

Phone(956) 541-1278

Fax(956) 541-2854

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateJuly 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609890607 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 · 539933

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.

1072 E LOS EBANOS BLVD, Brownsville, TX 78520

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Other Identifiers 2

Medicaid006838903TX

Medicare ID-Type Unspecified612241TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

David J Clark C.r.n.a. 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 ID6507830809

PECOS Enrollment IDI20100827000712

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161363

Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78520 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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Other Providers at the Same Location NPPES 10

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

INDEPENDENT ANESTHESIA GROUP PLLC

Anesthesiology