JENNIFER ANN CLARK AGPNP
NPI 1649993320
Nurse Practitioner - Primary Care in Dallas, TX

Q: What is Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1649993320. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Q: What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment

8440 WALNUT HILL LN STE 800, DALLAS, TX 75231(214) 716-2635 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2025, Oct 7, 2022, Sep 19, 2022 (3 updates tracked since 2022).

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About Jennifer Ann Clark Agpnp NPPES

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

JENNIFER ANN CLARK AGPNP (NPI 1649993320) is an individual primary care provider in Dallas, Texas, licensed in Texas (1085940) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649993320

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameJENNIFER ANN CLARKCredential: AGPNP

Location Address8440 WALNUT HILL LN STE 800Dallas, TX 75231-3825

Mailing Address4305 W Wheatland RdDallas, TX 75237-3311

Phone(214) 716-2635

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 19, 2022

Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1649993320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TX · 1085940

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1085940 (TX)

8440 WALNUT HILL LN STE 800, Dallas, TX 75231

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Jennifer Ann Clark Agpnp 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 ID1355716374

PECOS Enrollment IDI20230405000909

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.

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.

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.

49 services47 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINU ELIZABETH RAJAN

Nurse Practitioner (Acute Care)