NADIA SHANISE CLARK FNP-C
NPI 1689345506
Nurse Practitioner - Family in Hattiesburg, MS

Active since September 21, 2021PECOS EnrolledAccepts Medicare Assignment
5056 W 4TH ST # 100, HATTIESBURG, MS 39402(601) 446-2056(949) 288-0396 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, May 14, 2025, Mar 2, 2023 and 3 more (6 updates tracked since 2021).

About Nadia Shanise Clark Fnp-c NPPES

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

NADIA SHANISE CLARK FNP-C (NPI 1689345506) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (904907) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Covington County Hospital Cah, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689345506
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNADIA SHANISE CLARKCredential: FNP-C
Location Address5056 W 4TH ST # 100Hattiesburg, MS 39402-1069
Mailing Address8 SequatchieHattiesburg, MS 39402-1269 · (601) 410-7189 · Fax (949) 288-0396
Fax(949) 288-0396
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 21, 2021
Last NPPES UpdateMay 21, 20256 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1689345506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 904907
5056 W 4TH ST # 100, Hattiesburg, MS 39402

Other Names 1

Former Name (1)Nadia Shanise Hinton

Accepted 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

Nadia Shanise Clark Fnp-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 ID3870987787
PECOS Enrollment IDI20220218000291
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 16

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.

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
192 services58 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
118 services67 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.
116 services64 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
81 services40 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.
66 services45 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
52 services42 patients

Hospital Affiliations CMS Care Compare

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

Covington County Hospital Cah

Critical Access Hospitals · Collins, MS
OwnershipGovernment - Local
CMS Certification Number251325
Location701 South Holly AvenueCollins, MS 39428 · Covington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims12 services$104.68 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

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

Nurse Practitioner (Family)
5056 W 4TH ST # 100
HATTIESBURG, MS 39402

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 Nadia Clark's NPI number?

The NPI number for Nadia Clark is 1689345506. It was assigned to this individual provider in the NPPES registry on September 21, 2021. The provider is also known as Nadia Shanise Hinton.

Where is Nadia Clark located?

Nadia Clark practices at 5056 W 4th St # 100, Hattiesburg, MS 39402. The listed phone number is (601) 446-2056.

What is Nadia Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nadia Clark enrolled in Medicare?

Yes. Nadia 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 Nadia Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Nadia 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.

Is Nadia Clark affiliated with any hospitals?

According to CMS data, Nadia Clark is affiliated with Covington County Hospital Cah.

When was this NPI record last updated?

The NPPES record for Nadia Clark was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.