LISA A. CLARKE CRNP
NPI 1629088372
Nurse Practitioner - Obstetrics & Gynecology in La Mesa, CA
About Lisa A. Clarke Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA A. CLARKE CRNP (NPI 1629088372) is an individual obstetrics & gynecology provider in La Mesa, California, licensed in California (RN375180) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa A. Clarke Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LA MESA, CA 91942
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 Lisa Clarke's NPI number?
The NPI number for Lisa Clarke is 1629088372. It was assigned to this individual provider in the NPPES registry on August 8, 2006.
Where is Lisa Clarke located?
Lisa Clarke practices at 5525 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 644-6702.
What is Lisa Clarke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Lisa Clarke enrolled in Medicare?
Yes. Lisa Clarke is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Clarke was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Lisa A. Clarke, CRNP · NPI 1629088372
Obstetrics & Gynecology physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1629088372 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** RN375180 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5525 GROSSMONT CENTER DR, La Mesa, CA 91942-3009
- **Phone:** (619) 644-6702
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629088372) · Data from the CMS NPPES public registry.