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JOSILYN M CLARK
NPI 1619721644
Student in an Organized Health Care Education/Training Program in Sandusky, OH

Active since April 16, 2024PECOS Enrolled
1111 HAYES AVE, SANDUSKY, OH 44870(419) 502-2800 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Josilyn M Clark NPPES

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

JOSILYN M CLARK (NPI 1619721644) is an individual student in an organized health care education/training program in Sandusky, Ohio and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619721644
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJOSILYN M CLARK
Location Address1111 HAYES AVESandusky, OH 44870-3323
Mailing Address1111 Hayes AveSandusky, OH 44870-3323 · (419) 502-2800
Phone(419) 502-2800
Sole ProprietorYes
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
✔ NPI 1619721644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 HAYES AVE, Sandusky, OH 44870
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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 (PECOS)

Josilyn M 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.

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.

LINDSAY DAMSCHRODER NP-C
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-6959
JACQUELINE BEKHIT M.D.
Hospitalist
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7400
LORI ANN KEEGAN FNP
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7400
ADRIAN PROTZMAN
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7400
RAHUL MABBU PRASAD MD
Hospitalist
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7400
DR. MELINA FRANCES ALEXANDER DO
Emergency Medicine
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7455
LAURA J OBERGEFELL N.P.-C
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-6363
STEPHANIE BOOS
Physical Therapist
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Josilyn Clark's NPI number?

The NPI number for Josilyn Clark is 1619721644. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Josilyn Clark located?

Josilyn Clark practices at 1111 Hayes Ave, Sandusky, OH 44870. The listed phone number is (419) 502-2800.

What is Josilyn Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Josilyn Clark enrolled in Medicare?

Yes. Josilyn Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Josilyn Clark was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.