JENNIFER JOANN CLARK NP
NPI 1710355615
Nurse Practitioner - Family in Anderson, MO

Q: What is Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1710355615. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Q: What is Jennifer Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 09, 2015PECOS Enrolled

104 E MAIN ST, ANDERSON, MO 64831(417) 845-6984(417) 845-6976 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2017, Aug 9, 2016, Nov 24, 2015 (3 updates tracked since 2015).

On this page

About Jennifer Joann Clark Np NPPES

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

JENNIFER JOANN CLARK NP (NPI 1710355615) is an individual family provider in Anderson, Missouri, licensed in Missouri (2015031288) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710355615

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER JOANN CLARKCredential: NP

Location Address104 E MAIN STAnderson, MO 64831-4103

Mailing Address104 E Main StAnderson, MO 64831-4103 · (417) 845-6984 · Fax (417) 845-6976

Phone(417) 845-6984

Fax(417) 845-6976

Sole ProprietorNo

Enumeration DateSeptember 9, 2015

Last NPPES UpdateJune 26, 20193 updates tracked since enumeration

✔ NPI 1710355615 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 MO · 2015031288

104 E MAIN ST, Anderson, MO 64831

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Other Identifiers 3

Medicaid201119140AKS

Medicaid1710355615MO

Medicaid200605370AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Joann Clark Np 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 64831 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Other Providers at the Same Location NPPES 4

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

SGOH ACQUISITION, INC.

Clinic/Center (Rural Health)

104 E MAIN ST
ANDERSON, MO 64831

McDonald County (417) 845-6984

MRS. GLADYS KABAMBA SMITH FAMILY NURSE PRACTIT

Nurse Practitioner (Family)

104 E MAIN ST
ANDERSON, MO 64831

McDonald County (417) 845-6984

JASON MYLIS BOWERS LCSW

Social Worker (Clinical)

104 E MAIN ST
ANDERSON, MO 64831

McDonald County (417) 845-6984

ERIN CHRISTINA BERRY FNP

Nurse Practitioner (Family)

104 E MAIN ST
ANDERSON, MO 64831

McDonald County (417) 845-6984

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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1710355615. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Jennifer Clark located?

Jennifer Clark practices at 104 E Main St, Anderson, MO 64831. The listed phone number is (417) 845-6984.

What is Jennifer Clark's specialty?

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

Is Jennifer Clark enrolled in Medicare?

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

What insurance does Jennifer Clark accept?

Health plans from Medica list Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.