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NICHOLAS MCKINLEY CLARK PA-C
NPI 1679367288
Physician Assistant in Phoenix, AZ

Active since April 08, 2025PECOS EnrolledAccepts Medicare Assignment
3522 N 3RD AVE, PHOENIX, AZ 85013(602) 776-7676(602) 705-0567 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Apr 8, 2025 (2 updates tracked since 2025).

About Nicholas Mckinley Clark Pa-c NPPES

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

NICHOLAS MCKINLEY CLARK PA-C (NPI 1679367288) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (11035) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679367288
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS MCKINLEY CLARKCredential: PA-C
Location Address3522 N 3RD AVEPhoenix, AZ 85013-3903
Mailing Address3522 N 3rd AvePhoenix, AZ 85013-3903 · (602) 776-7676 · Fax (602) 705-0567
Phone(602) 776-7676
Fax(602) 705-0567
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 8, 2025
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1679367288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 11035
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3522 N 3RD AVE, Phoenix, AZ 85013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Nicholas Mckinley Clark Pa-c 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 ID7416476346
PECOS Enrollment IDI20250523000990
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 16

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

KIMBERLY LE M.D.
Family Medicine
3522 N 3RD AVE
PHOENIX, AZ 85013
Maricopa County (602) 776-7676
CIRCLE THE CITY
Clinic/Center (Federally Qualified Health Center (FQHC))
3522 N 3RD AVE
PHOENIX, AZ 85013
Maricopa County (602) 776-7676
BAILEY ALEXIS WEISS
Occupational Therapist
3522 N 3RD AVE
PHOENIX, AZ 85013
Maricopa County (602) 776-0776
MRS. JENNAL JOHNSON FNP
Nurse Practitioner
3522 N 3RD AVE
PHOENEIX, AZ 85013
Maricopa County (602) 266-8463
HEIDI HOWELL
Social Worker (Clinical)
3522 N 3RD AVE
PHOENIX, AZ 85013
Maricopa County (602) 776-7676
MARGARET THAYER PA-C
Physician Assistant
3522 N 3RD AVE
PHOENIX, AZ 85013
Maricopa County (602) 776-7676
MRS. JUSTINE A SPERBER MSW, LCSW
Counselor (Mental Health)
3522 N 3RD AVE
PHOENIX, AZ 85013
Maricopa County (602) 776-7676
CIRCLE THE CITY
Clinic/Center (Federally Qualified Health Center (FQHC))
3522 N 3RD AVE
PHOENIX, AZ 85013
Maricopa County (602) 776-9000

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 Nicholas Clark's NPI number?

The NPI number for Nicholas Clark is 1679367288. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Nicholas Clark located?

Nicholas Clark practices at 3522 N 3rd Ave, Phoenix, AZ 85013. The listed phone number is (602) 776-7676.

What is Nicholas Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Clark enrolled in Medicare?

Yes. Nicholas 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.

What insurance does Nicholas Clark accept?

Health plans from Ambetter from Arizona Complete Health list Nicholas 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 Nicholas Clark was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.