SHELBY RAE CLARK APRN
NPI 1669225827
Nurse Practitioner in San Antonio, TX

Q: What is Shelby Clark's NPI number?

The NPI number for Shelby Clark is 1669225827. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Q: What is Shelby Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Clark was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 April 08, 2024PECOS EnrolledAccepts Medicare Assignment

520 E EUCLID AVE, SAN ANTONIO, TX 78212(210) 581-2837(210) 853-2718 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2024, Apr 8, 2024 (2 updates tracked since 2024).

On this page

About Shelby Rae Clark Aprn NPPES

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

SHELBY RAE CLARK APRN (NPI 1669225827) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (1156851) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669225827

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHELBY RAE CLARKCredential: APRN

Location Address520 E EUCLID AVESan Antonio, TX 78212-4414

Mailing Address12047 Fm 1957 Ste 104San Antonio, TX 78253-9244

Phone(210) 581-2837

Fax(210) 853-2718

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 8, 2024

Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1669225827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1156851

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1156851 (TX)

520 E EUCLID AVE, San Antonio, TX 78212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare.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

Shelby Rae Clark Aprn 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 ID6800329186

PECOS Enrollment IDI20241024002590

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.

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

CARMEN NG AGACNP-BC

Nurse Practitioner