ALISHA KAYE CLARK RN, CPNP-AC
NPI 1699269035
Nurse Practitioner - Pediatrics in Memphis, TN
About Alisha Kaye Clark Rn, Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISHA KAYE CLARK RN, CPNP-AC (NPI 1699269035) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (27212) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alisha Kaye Clark Rn, Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alisha Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38103
- Reassigned Medicare billing, Tennessee enrollment
- 582 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
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 Alisha Clark's NPI number?
The NPI number for Alisha Clark is 1699269035. It was assigned to this individual provider in the NPPES registry on June 19, 2018.
Where is Alisha Clark located?
Alisha Clark practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (901) 595-3300.
What is Alisha Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Alisha Clark enrolled in Medicare?
Yes. Alisha Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alisha Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisha Clark reassigns Medicare benefits to Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisha Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alisha Clark was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Alisha Kaye Clark, RN, CPNP-AC · NPI 1699269035
Pediatrics physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since June 19, 2018.
## Identity
- **NPI:** 1699269035 (Entity type: Individual)
- **Enumerated:** June 19, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 27212 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 262 DANNY THOMAS PL, Memphis, TN 38105-3678
- **Phone:** (901) 595-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ut Lebonheur Pediatric Specialists, Inc. (NPI 1093024101, Memphis, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1699269035) · Data from the CMS NPPES public registry.