JESSICA LYNN CLARK
NPI 1619686946
Nurse Practitioner in Pensacola, FL

Q: What is Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1619686946. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Q: What is Jessica 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 Jessica Clark was last updated on November 15, 2022. 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 November 15, 2022PECOS Enrolled

76.27/100

CMS Quality Rating

4901 MARKET PLACE RD, PENSACOLA, FL 32504(855) 527-7246(833) 810-1165 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jessica Lynn Clark NPPES

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

JESSICA LYNN CLARK (NPI 1619686946) is an individual nurse practitioner in Pensacola, Florida, licensed in Florida (APRN11022604) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619686946

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA LYNN CLARK

Location Address4901 MARKET PLACE RDPensacola, FL 32504-8986

Mailing Address201 Defense Hwy Ste 205Annapolis, MD 21401-7096 · (855) 527-7246 · Fax (866) 229-5063

Phone(855) 527-7246

Fax(833) 810-1165

Sole ProprietorNo

Enumeration DateNovember 15, 2022

NPPES CertifiedNovember 15, 2022

✔ NPI 1619686946 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 FL · APRN11022604

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.

4901 MARKET PLACE RD, Pensacola, FL 32504

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Clark 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 Reassignments

Medicare enrollment records show Jessica Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gulf Coast Pain Consultants LLC

Same address

Interventional Pain Medicine

4901 MARKET PLACE RD
Pensacola, FL 32504

Reassigned Medicare billing, Florida enrollment
48 clinicians in this Medicare group

NPI 1669712287 (855) 527-7246

Privia Medical Group Florida, LLC

433 mi

General Practice

140 6TH AVE
Indialantic, FL 32903

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Health First Privia Medical Group
329 clinicians in this Medicare group

NPI 1700649043 (321) 312-3501

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

Areas of Expertise CMS Part B claims 2

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.

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

59 services56 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481

A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.

59 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.27

Promoting Interoperability

Improvement Activities

Cost

30.47

Other Providers at the Same Location NPPES 16

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

VARUN KUMAR RIMMALAPUDI M.D.

Anesthesiology (Pain Medicine)