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CHANTEL C CLARK MD
NPI 1689427726
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 09, 2024PECOS Enrolled
MSC 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-6607 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Jul 24, 2024, Apr 9, 2024 (3 updates tracked since 2024).

About Chantel C Clark Md NPPES

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

CHANTEL C CLARK MD (NPI 1689427726) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2024-0051) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689427726
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHANTEL C CLARKCredential: MD
Location AddressMSC 5040 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc 5040 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-6607
Phone(505) 272-6607
Sole ProprietorNo
Enumeration DateApril 9, 2024
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1689427726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2024-0051
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MSC 5040 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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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 (PECOS)

Chantel C Clark Md 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.

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 Chantel Clark's NPI number?

The NPI number for Chantel Clark is 1689427726. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Chantel Clark located?

Chantel Clark practices at Msc 5040 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-6607.

What is Chantel Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chantel Clark enrolled in Medicare?

Yes. Chantel Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chantel Clark was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.