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JOHNEISHA DENISE CLARK
NPI 1649827445
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since August 26, 2019PECOS EnrolledAccepts Medicare Assignment
3333 W 20TH ST, JACKSONVILLE, FL 32254(904) 695-9145 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2022, Dec 10, 2019, Sep 9, 2019 and 1 more (4 updates tracked since 2019).

About Johneisha Denise Clark NPPES

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

JOHNEISHA DENISE CLARK (NPI 1649827445) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11004035) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649827445
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJOHNEISHA DENISE CLARK
Location Address3333 W 20TH STJacksonville, FL 32254-1703
Mailing Address3333 W 20th StJacksonville, FL 32254-1703 · (904) 695-9145
Phone(904) 695-9145
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 26, 2019
Last NPPES UpdateFebruary 11, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1649827445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11004035
3333 W 20TH ST, Jacksonville, FL 32254
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

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

Johneisha Denise Clark 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 ID1254765746
PECOS Enrollment IDI20191216000909, I20220106000661
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 Johneisha Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tbj Behavioral Center LLC
9.0 mi
Psychiatric Hospital
6300 BEACH BLVD
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 43 clinicians in this Medicare group
NPI 1568633683 (904) 724-9202
Mental Health Resource Center Inc
14 mi
Community Health
11820 BEACH BLVD
Jacksonville, FL 32246
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
NPI 1851407365 (904) 642-9100
Author Health Professionals, PC
327 mi
Psychiatry
360 NW 27TH ST, SUITE 08-109
Miami, FL 33127
  • Reassigned Medicare billing, Florida and Texas enrollments
  • 114 clinicians in this Medicare group
NPI 1740897321 (754) 202-2655
Brave Health Inc.
328 mi
Community/Behavioral Health
1951 NW 7TH AVE
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group
NPI 1821588674 (305) 930-8939
Brave Health Medical Group PA
328 mi
Community/Behavioral Health
1951 NW 7TH AVE FL 3
Miami, FL 33136
  • Reassigned Medicare billing, Texas enrollment
  • 128 clinicians in this Medicare group
NPI 1225669161 (305) 902-6347

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

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
92 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32254 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

MRS. ALICIA JUDITH COOPER BS
Social Worker
3333 W 20TH ST
JACKSONVILLE, FL 32254
Duval County (904) 695-0033
GRETCHEN HAMM L.M.H.C
Counselor (Mental Health)
3333 W 20TH ST
JACKSONVILLE, FL 32254
Duval County (904) 695-9145
ROBIN D BELCHER-HOWARD ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3333 W 20TH ST
JACKSONVILLE, FL 32254
Duval County (904) 695-9145
KAREN VILLANUEVA LMHC
Counselor (Mental Health)
3333 W 20TH ST
JACKSONVILLE, FL 32254
Duval County (904) 695-9145
MENTAL HEALTH CENTER OF JACKSONVILLE, INC.
Clinic/Center (Community Health)
3333 W 20TH ST
JACKSONVILLE, FL 32254
Duval County (904) 695-9145
MRS. LILLIE CARTER-FORD
Social Worker
3333 W 20TH ST
JACKSONVILLE, FL 32254
Duval County (904) 945-3511
DR. BENJAMIN LYE M.D.
Psychiatry & Neurology (Psychiatry)
3333 W 20TH ST
JACKSONVILLE, FL 32254
Duval County (904) 695-9145
MENDI VARNADO B.S. M.S.
Social Worker
3333 W 20TH ST
JACKSONVILLE, FL 32254
Duval County (904) 695-9145

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 Johneisha Clark's NPI number?

The NPI number for Johneisha Clark is 1649827445. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Johneisha Clark located?

Johneisha Clark practices at 3333 W 20th St, Jacksonville, FL 32254. The listed phone number is (904) 695-9145.

What is Johneisha Clark's specialty?

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

Is Johneisha Clark enrolled in Medicare?

Yes. Johneisha 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 Johneisha Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johneisha Clark reassigns Medicare benefits to 5 organizations: Tbj Behavioral Center LLC (Jacksonville, FL), Mental Health Resource Center Inc (Jacksonville, FL), Author Health Professionals, PC (Miami, FL), Brave Health Inc. (Miami, FL) and Brave Health Medical Group PA (Miami, FL). 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 Johneisha Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johneisha Clark accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Johneisha Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johneisha Clark was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.