1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Physician Assistant
  6. NPI Profile

MRS. AMANDA R CLARK PA-C
NPI 1699732560
Physician Assistant in Dallas, TX

Active since April 26, 2006PECOS Enrolled
9540 GARLAND RD # C408, DALLAS, TX 75218(214) 321-0015 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Amanda R Clark Pa-c NPPES

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

MRS. AMANDA R CLARK PA-C (NPI 1699732560) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA04587) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Quinlan.

NPPES Registry Identity

NPI1699732560
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. AMANDA R CLARKCredential: PA-C
Location Address9540 GARLAND RD # C408Dallas, TX 75218-5004
Mailing Address9540 Garland Rd # C408Dallas, TX 75218-5004 · (214) 321-0015
Phone(214) 321-0015
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1699732560 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 TX · PA04587
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.
9540 GARLAND RD # C408, Dallas, TX 75218
Open in Google Maps ↗

Secondary Practice Location 1

Location 11607 E Quinlan PkwyQuinlan, TX 75474-8632 · Phone (903) 356-2144 · Fax (903) 356-3025

Other Identifiers 2

Other752784715TX · Tax Identification Number
Other458973TX · 751997614

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda R Clark Pa-c 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 75218 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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 Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1699732560. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Amanda Clark located?

Amanda Clark practices at 9540 Garland Rd # C408, Dallas, TX 75218. The listed phone number is (214) 321-0015.

What is Amanda Clark's specialty?

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

Is Amanda Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.