CYNTHIA RAE CLARK F.N.P.
NPI 1679698849
Nurse Practitioner - Pediatrics in Vista, CA

Q: What is Cynthia Clark's NPI number?

The NPI number for Cynthia Clark is 1679698849. It was assigned to this individual provider in the NPPES registry on March 20, 2007. The provider is also known as Cynthia Rae Wheeler.

Q: What is Cynthia Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Clark was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 20, 2007PECOS Enrolled

1000 VALE TERRACE DR, VISTA, CA 92084(760) 631-5000 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, Nov 18, 2016 (2 updates tracked since 2016).

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About Cynthia Rae Clark F.n.p. NPPES

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

CYNTHIA RAE CLARK F.N.P. (NPI 1679698849) is an individual pediatrics provider in Vista, California, licensed in California (NP16833) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679698849

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCYNTHIA RAE CLARKCredential: F.N.P.

Location Address1000 VALE TERRACE DRVista, CA 92084-5218

Mailing Address3860 Calle Fortunada, Suite 210San Diego, CA 92123-4800 · (858) 309-6300 · Fax (858) 309-6301

Phone(760) 631-5000

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateMay 29, 20262 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1679698849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LP0200X

License✔ Licensed in CA · NP16833

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN575767 (CA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP16833 (CA)

1000 VALE TERRACE DR, Vista, CA 92084

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Other Names 1

Former Name (1)Cynthia Rae Wheeler

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Rae Clark F.n.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92084 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims18 services$6.87 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.

CHRISTINE DOUGHERTY LCSW

Social Worker (Clinical)