MR. RICHARD D CLARK RN ARNP CRNA
NPI 1659355121
Nurse Anesthetist, Certified Registered in Lansing, IL

Q: What is Richard Clark's NPI number?

The NPI number for Richard Clark is 1659355121. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Richard Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Clark was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 30, 2005PECOS Enrolled

18221 TORRENCE AVE, LANSING, IL 60438(708) 895-9450 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. Richard D Clark Rn Arnp Crna NPPES

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

MR. RICHARD D CLARK RN ARNP CRNA (NPI 1659355121) is an individual nurse anesthetist, certified registered in Lansing, Illinois, licensed in Illinois (09.006191) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659355121

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. RICHARD D CLARKCredential: RN ARNP CRNA

Location Address18221 TORRENCE AVELansing, IL 60438-2870

Mailing Address18221 Torrence AveLansing, IL 60438-2870 · (708) 895-9408

Phone(708) 895-9450

Sole ProprietorYes

Enumeration DateNovember 30, 2005

Last NPPES UpdateMay 21, 2010

✔ NPI 1659355121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in IL · 09.006191✔ Licensed in KS · 54725✔ Licensed in MO · 134677

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 1484659051 (KS), 134677 (MO)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 54725 (KS)

18221 TORRENCE AVE, Lansing, IL 60438

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Other Identifiers 18

Other100385650CKansas Medical Assistista

Other27862039Preferred Care Blue

Medicare ID-Type UnspecifiedH81A520MO

OtherP00155221Rr Medicare

Medicaid915697213MO

Other481192875Coventry

Other27862039Preferred Health Professi

Other161280Bcbs Of Kansas

Other27862039Bcbs Of Kansas City

Other481192875Cigna

Medicare UPINP13178

OtherP13178Premier Health Plans

Other481192875Aetna

Other481192875Humana

Other481192875United Health Care

Medicare ID-Type Unspecified161280KS

Other10001771600Community Health Plan

Medicare ID-Type UnspecifiedH81A520BMO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Richard D Clark Rn Arnp Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Richard Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Anesthesiologists Of Chicago, LLC

23 mi

Anesthesiology

60 E DELAWARE PL FL 15
Chicago, IL 60611

Reassigned Medicare billing, Illinois enrollment
39 clinicians in this Medicare group

NPI 1659306272 (312) 291-7432

Illinois Gastroenterology Group, LLC

52 mi

Gastroenterology

745 FLETCHER DRIVE
Elgin, IL 60123

Reassigned Medicare billing, Illinois enrollment
235 clinicians in this Medicare group

NPI 1316277817 (847) 888-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60438 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 12

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

MARCIA MEGGS MD

Anesthesiology

18221 TORRENCE AVE
LANSING, IL 60438

Cook County (708) 895-9450

APMS MEDICAL, LTD.

Clinic/Center (Medical Specialty)

18221 TORRENCE AVE, SUITE 1C
LANSING, IL 60438

Cook County (708) 895-9450

JULIE A. FLYNN CRNA