MRS. EDWINA CLARKE MD
NPI 1619360351
Pediatrics in Warren, PA

Q: What is Edwina Clarke's NPI number?

The NPI number for Edwina Clarke is 1619360351. It was assigned to this individual provider in the NPPES registry on March 5, 2015.

Q: What is Edwina Clarke's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Edwina Clarke was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 05, 2015PECOS Enrolled

2 W CRESCENT PARK, WARREN, PA 16365(814) 723-3300 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2023, Jun 9, 2017, Apr 30, 2017 (3 updates tracked since 2017).

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About Mrs. Edwina Clarke Md NPPES

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

MRS. EDWINA CLARKE MD (NPI 1619360351) is an individual pediatrics provider in Warren, Pennsylvania, licensed in Pennsylvania (MD470063) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619360351

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. EDWINA CLARKECredential: MD

Location Address2 W CRESCENT PARKWarren, PA 16365-2199

Mailing Address2 W Crescent ParkWarren, PA 16365-2111 · (814) 730-8000

Phone(814) 723-3300

Sole ProprietorYes

Enumeration DateMarch 5, 2015

Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration

NPPES CertifiedMarch 2, 2023

✔ NPI 1619360351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD470063

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2 W CRESCENT PARK, Warren, PA 16365

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Edwina Clarke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Edwina Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Warren General Hospital

Same address

Technician, Cardiology

2 W CRESCENT PARK
Warren, PA 16365

Reassigned Medicare billing, Pennsylvania enrollment
Also billed through NPI 1508803701 (Pennsylvania)
8 clinicians in this Medicare group

NPI 1154363992 (814) 723-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16365 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 20

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

JAMIE CUMMINGS PHARMD

Pharmacist