MELISSA CLARK
NPI 1710557871
Nurse Anesthetist, Certified Registered in Columbus, OH

Q: What is Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1710557871. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Q: What is Melissa Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Clark was last updated on May 30, 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.

Active since June 30, 2021Accepts Medicare Assignment

410 W 10TH AVE FL 1, COLUMBUS, OH 43210(614) 293-8487(614) 293-8153 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Melissa Clark NPPES

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

MELISSA CLARK (NPI 1710557871) is an individual nurse anesthetist, certified registered in Columbus, Ohio, licensed in Ohio (APRN.CRNA.0020839) and active in the NPI registry since June 2021. She is affiliated with Uh Regional Hospitals, maintains 5 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710557871

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMELISSA CLARK

Location Address410 W 10TH AVE FL 1Columbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8487 · Fax (614) 293-8153

Phone(614) 293-8487

Fax(614) 293-8153

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 30, 2021

Last NPPES UpdateMay 30, 2024

NPPES CertifiedMay 30, 2024

✔ NPI 1710557871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OH · APRN.CRNA.0020839

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.372889 (OH)

410 W 10TH AVE FL 1, Columbus, OH 43210

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Secondary Practice Locations 5

Location 113207 Ravenna RdChardon, OH 44024-7032 · Phone (000) 000-0000

Location 2158 W Main RdConneaut, OH 44030-2039 · Phone (000) 000-0000

Location 3870 W Main StGeneva, OH 44041-1219 · Phone (000) 000-0000

Location 43999 Richmond RdBeachwood, OH 44122-6046 · Phone (000) 000-0000

Location 56847 N Chestnut St # 44266Ravenna, OH 44266-3929 · Phone (000) 000-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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

Melissa Clark 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 ID4082084546

PECOS Enrollment IDI20221228002244, I20250606002857

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

25 services25 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number360075

Location13207 Ravenna RoadChardon, OH 44024 · Geauga County

Emergency services Birthing friendly

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390102

Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

SHELBY FULLEN CAA

Anesthesiologist Assistant