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MR. JENNIFER ANNE CLARK N.P.-C
NPI 1629203948
Nurse Practitioner - Family in Vineland, NJ

Active since May 17, 2009PECOS EnrolledAccepts Medicare Assignment
1505 W SHERMAN AVE, VINELAND, NJ 08360(856) 641-8000 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jennifer Anne Clark N.p.-c NPPES

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

MR. JENNIFER ANNE CLARK N.P.-C (NPI 1629203948) is an individual family provider in Vineland, New Jersey, licensed in New Jersey (26NJ00198600) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains a secondary practice location in Glassboro.

NPPES Registry Identity

NPI1629203948
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JENNIFER ANNE CLARKCredential: N.P.-C
Location Address1505 W SHERMAN AVEVineland, NJ 08360-6912
Mailing Address249 Husted Station RdElmer, NJ 08318-3806 · (856) 358-0760
Phone(856) 641-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 17, 2009
Last NPPES UpdateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1629203948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00198600
1505 W SHERMAN AVE, Vineland, NJ 08360
Open in Google Maps ↗

Secondary Practice Location 1

Location 11120 Delsea Dr NGlassboro, NJ 08028-1444 · Phone (856) 595-9136 · Fax (856) 575-5097

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jennifer Anne Clark N.p.-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 ID4789720301
PECOS Enrollment IDI20091012000278
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

5

Medicare enrollment records show Jennifer Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Excelcare Alliance, LLC
3.4 mi
Family Medicine
76 S STATE ST
Vineland, NJ 08360
  • Reassigned Medicare billing, New Jersey enrollment
  • 27 clinicians in this Medicare group
NPI 1891090510 (856) 205-1112
Community Health Care, Inc.
9.4 mi
Federally Qualified Health Center (FQHC)
30 NORTH PEARL STREET
Bridgeton, NJ 08302
  • Reassigned Medicare billing, New Jersey enrollment
  • 281 clinicians in this Medicare group
NPI 1700816816 (856) 451-4700
Tri-County Health Connections PC
20 mi
Multi-Specialty
1120 DELSEA DR N
Glassboro, NJ 08028
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
NPI 1124660501 (856) 205-7071
Shore Memorial Hospital
27 mi
Hematology & Oncology
1 EAST NEW YORK AVE
Somers Point, NJ 08244
  • Reassigned Medicare billing, New Jersey enrollment
  • 38 clinicians in this Medicare group
NPI 1689795338 (609) 653-3213
Cooper Physician Offices, PA
34 mi
Internal Medicine
3 COOPER PLZ, SUITE 215
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 535 clinicians in this Medicare group
NPI 1154369510 (856) 342-2439

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
486 services196 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
81 services76 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08360 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

MARK STEVEN ARROYO PHARMD
Pharmacist
1505 W SHERMAN AVE, DEPT OF PHARMACY
VINELAND, NJ 08360
Cumberland County (856) 641-7557
VICTORIA MARIE MARSHALL
Nurse Anesthetist, Certified Registered
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (609) 970-8487
DONNA GIBSON RN, APNC
Nurse Practitioner (Family)
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000
MRS. CAMELIA EAST RPH
Pharmacist
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-7557
NICHOLE SMITH PA-C
Physician Assistant
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000
JOSHUA GRANT FREYER DPM
Student in an Organized Health Care Education/Training Program
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000
LAURIE ANN MAGARGAL RPH
Pharmacist
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000
AMAL WAIL ABUKWAIK DO
Student in an Organized Health Care Education/Training Program
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000

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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1629203948. It was assigned to this individual provider in the NPPES registry on May 17, 2009.

Where is Jennifer Clark located?

Jennifer Clark practices at 1505 W Sherman Ave, Vineland, NJ 08360. The listed phone number is (856) 641-8000.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Clark enrolled in Medicare?

Yes. Jennifer Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Clark reassigns Medicare benefits to 5 organizations: Excelcare Alliance, LLC (Vineland, NJ), Community Health Care, Inc. (Bridgeton, NJ), Tri-County Health Connections PC (Glassboro, NJ), Shore Memorial Hospital (Somers Point, NJ) and Cooper Physician Offices, PA (Camden, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Clark affiliated with any hospitals?

According to CMS data, Jennifer Clark is affiliated with Cape Regional Medical Center Inc, Inspira Medical Center Vineland and Inspira Medical Center Mullica Hill.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.