MS. ANDREA MARIE ODWIN-CLARKE NP
NPI 1639262199
Nurse Practitioner - Adult Health in Elmhurst, NY

Q: What is Andrea Odwin-clarke's NPI number?

The NPI number for Andrea Odwin-clarke is 1639262199. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Andrea Odwin-clarke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

80TH ST & 41ST AVE, ELMHURST, NY 11373(718) 334-4000(718) 334-4000 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Andrea Marie Odwin-clarke Np NPPES

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

MS. ANDREA MARIE ODWIN-CLARKE NP (NPI 1639262199) is an individual adult health provider in Elmhurst, New York, licensed in New York (F302468) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Hospital Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1639262199

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. ANDREA MARIE ODWIN-CLARKECredential: NP

Location Address80TH ST & 41ST AVEElmhurst, NY 11373-1329

Mailing Address79-01 Broadway, D1-01Elmhurst, NY 11373-1329 · (718) 334-4000 · Fax (718) 334-4000

Phone(718) 334-4000

Fax(718) 334-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 2, 2006

Last NPPES UpdateFebruary 17, 2009

✔ NPI 1639262199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F302468

80TH ST & 41ST AVE, Elmhurst, NY 11373

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Other Identifiers 2

Medicaid00246075NY

Medicare ID-Type Unspecified00330128NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Andrea Marie Odwin-clarke Np 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 ID648575985

PECOS Enrollment IDI20241203002975

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.

Hospital Affiliations CMS Care Compare

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

Elmhurst Hospital Center

Acute Care Hospitals · Elmhurst, NY

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330128

Location79-01 BroadwayElmhurst, NY 11373 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

CARLOTA GABRIEL ANTONIO NP

Nurse Practitioner (Primary Care)