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JANE ELIZABETH CLARK RNCS
NPI 1639262579
Nurse Practitioner - Psychiatric/Mental Health in Milford, CT

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
828 E BROADWAY, MILFORD, CT 06460(860) 490-0800(888) 222-1049 Get Directions Write a Review

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

Record update history: Aug 10, 2026, Dec 11, 2015 (2 updates tracked since 2015).

About Jane Elizabeth Clark Rncs NPPES

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

JANE ELIZABETH CLARK RNCS (NPI 1639262579) is an individual psychiatric/mental health provider in Milford, Connecticut, licensed in Connecticut (1952) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1639262579
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJANE ELIZABETH CLARKCredential: RNCS
Location Address828 E BROADWAYMilford, CT 06460-6215
Mailing Address675 Tower Ave, Suite 301Hartford, CT 06112-1273 · (860) 714-2750 · Fax (860) 714-8591
Phone(860) 490-0800
Fax(888) 222-1049
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1639262579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 1952
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License 001952 (CT)
828 E BROADWAY, Milford, CT 06460
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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

Jane Elizabeth Clark Rncs 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 ID7214969302
PECOS Enrollment IDI20070212000381
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 Reassignment

Medicare enrollment records show Jane Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Charities, Inc. - Archdiocese Of Hartford
42 mi
Mental Health (Including Community Mental Health Center)
132 GROVE ST
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1245324516 (Connecticut)
  • 10 clinicians in this Medicare group
NPI 1669566956 (860) 482-5558

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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
108 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06460 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Jane Clark's NPI number?

The NPI number for Jane Clark is 1639262579. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Jane Clark located?

Jane Clark practices at 828 E Broadway, Milford, CT 06460. The listed phone number is (860) 490-0800.

What is Jane Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jane Clark enrolled in Medicare?

Yes. Jane 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 organization bills Medicare for Jane Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Clark reassigns Medicare benefits to Catholic Charities, Inc. - Archdiocese Of Hartford (Torrington, CT). The 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 Jane Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jane Clark was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.