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JESSICA CLARK
NPI 1619737244
Student in an Organized Health Care Education/Training Program in Sugar Land, TX

Active since March 20, 2024PECOS Enrolled
14023 SOUTHWEST FWY, SUGAR LAND, TX 77478(281) 325-4100(281) 325-4271 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Clark NPPES

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

JESSICA CLARK (NPI 1619737244) is an individual student in an organized health care education/training program in Sugar Land, Texas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619737244
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA CLARK
Location Address14023 SOUTHWEST FWYSugar Land, TX 77478-3550
Mailing Address14023 Southwest FwySugar Land, TX 77478-3550 · (281) 325-4100 · Fax (281) 325-4271
Phone(281) 325-4100
Fax(281) 325-4271
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1619737244 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.
14023 SOUTHWEST FWY, Sugar Land, TX 77478
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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)

Jessica 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.

MONICA KALRA DO
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100
MEMORIAL HERMANN MEDICAL GROUP
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100
MELISSA AIDA SILVA MD
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (713) 325-4100
NITYA HANNAH VIRIPPIL DO
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100
WEN ZHANG M.D.
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4292
MEMORIAL HERMANN HOSPITAL SYSTEM
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 276-2000
LAURA MOORE MD
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100
EMILY JOHNSON
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100

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 Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1619737244. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Jessica Clark located?

Jessica Clark practices at 14023 Southwest Fwy, Sugar Land, TX 77478. The listed phone number is (281) 325-4100.

What is Jessica 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 Jessica Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.