MRS. JULIA MERCY CLARK PA-C
NPI 1619549128
Physician Assistant - Medical in Jamestown, NY

Q: What is Julia Clark's NPI number?

The NPI number for Julia Clark is 1619549128. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Q: What is Julia Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Julia Clark was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 14, 2021PECOS EnrolledAccepts Medicare Assignment

15 S MAIN ST STE 150, JAMESTOWN, NY 14701(716) 483-6700 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Julia Mercy Clark Pa-c NPPES

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

MRS. JULIA MERCY CLARK PA-C (NPI 1619549128) is an individual medical provider in Jamestown, New York, licensed in New York (026751-01) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619549128

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. JULIA MERCY CLARKCredential: PA-C

Location Address15 S MAIN ST STE 150Jamestown, NY 14701-6627

Mailing Address15 S Main St Ste 150Jamestown, NY 14701-6627

Phone(716) 483-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 14, 2021

NPPES CertifiedJuly 14, 2021

✔ NPI 1619549128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 026751-01

15 S MAIN ST STE 150, Jamestown, NY 14701

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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

Mrs. Julia Mercy Clark Pa-c 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 ID1759788607

PECOS Enrollment IDI20210921000739

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

142 services119 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330239

Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

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

QPHARMA INC

Non-Pharmacy Dispensing Site