JENNIFER LEIGH CLARK AGNP
NPI 1679001192
Nurse Practitioner in Sisseton, SD

Q: What is Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1679001192. It was assigned to this individual provider in the NPPES registry on May 28, 2017.

Q: What is Jennifer 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 Jennifer Clark was last updated on February 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 28, 2017PECOS EnrolledAccepts Medicare Assignment

100 LAKE TRAVERSE DR, SISSETON, SD 57262(605) 698-7606 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2021, Jan 22, 2020, Jun 14, 2017 and 1 more (4 updates tracked since 2017).

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About Jennifer Leigh Clark Agnp NPPES

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

JENNIFER LEIGH CLARK AGNP (NPI 1679001192) is an individual nurse practitioner in Sisseton, South Dakota, licensed in Michigan (4704290820) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Coteau Des Prairies Health Care System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679001192

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER LEIGH CLARKCredential: AGNP

Location Address100 LAKE TRAVERSE DRSisseton, SD 57262-7046

Mailing Address100 Lake Traverse DrSisseton, SD 57262-7046

Phone(605) 698-7606

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 28, 2017

Last NPPES UpdateFebruary 22, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2024

✔ NPI 1679001192 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 MI · 4704290820

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 ListedRegistered NurseTaxonomy 163W00000X · License 4704290820 (MI)

100 LAKE TRAVERSE DR, Sisseton, SD 57262

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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 Leigh Clark Agnp 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 ID3678843844

PECOS Enrollment IDI20240306000195

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 10

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

106 services66 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

93 services62 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.

79 services62 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 services58 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

59 services48 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

39 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coteau Des Prairies Health Care System

Critical Access Hospitals · Sisseton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431339

Location205 Orchard DrSisseton, SD 57262 · Roberts County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57262 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier23 claims23 services$45.52 avg. paid by Medicare

Patient lift, electric with seat or sling E0635

DME-Other DME · category DE000N

2 suppliers11 claims11 services$60.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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