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YVONNE Y. CLARK CNP
NPI 1710963657
Nurse Practitioner - Psychiatric/Mental Health in Dayton, OH

Active since December 22, 2005PECOS Enrolled
73.63/100
CMS Quality Rating
6300 N MAIN ST, DAYTON, OH 45415(937) 275-1500 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yvonne Y. Clark Cnp NPPES

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

YVONNE Y. CLARK CNP (NPI 1710963657) is an individual psychiatric/mental health provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.07925) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Centerville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710963657
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameYVONNE Y. CLARKCredential: CNP
Location Address6300 N MAIN STDayton, OH 45415-3154
Mailing Address1550 Yankee Park Pl, Ste ACenterville, OH 45458-1838 · (937) 439-4949 · Fax (937) 439-4948
Phone(937) 275-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 22, 2005
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1710963657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.07925
6300 N MAIN ST, Dayton, OH 45415
Open in Google Maps ↗

Secondary Practice Location 1

Location 11550 Yankee Park Pl, Ste ACenterville, OH 45458-1838 · Phone (937) 439-4949 · Fax (937) 439-4948

Other Identifiers 1

Medicaid2517342OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yvonne Y. Clark Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325000862
PECOS Enrollment IDI20041027001321
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Yvonne Clark reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mahajan Therapeutics, LLC
Same address
Community/Behavioral Health
6300 N MAIN ST
Dayton, OH 45415
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1669531810 (937) 275-1500
Access Ohio, LLC
7.6 mi
Substance Abuse Rehabilitation Facility
2611 WAYNE AVE BLDG 64
Dayton, OH 45420
  • Reassigned Medicare billing, Ohio enrollment
  • 64 clinicians in this Medicare group
NPI 1194179150 (614) 256-7811
Clearing Path's Therapeutic Services, Ltd
11 mi
Mental Health
5450 FAR HILLS AVE STE 110
Kettering, OH 45429
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group
NPI 1043511975 (937) 299-9060
Pain Evaluation & Management Center Of Ohio, Inc.
14 mi
Pain Medicine
1550 YANKEE PARK PL, STE A
Centerville, OH 45458
  • Reassigned Medicare billing, Ohio enrollment
  • 19 clinicians in this Medicare group
NPI 1811940182 (937) 439-4949
Integrated Pain Solutions Incorporated
70 mi
Interventional Pain Medicine
1210 GEMINI PL, STE 300
Columbus, OH 43240
  • Reassigned Medicare billing, Ohio enrollment
  • 36 clinicians in this Medicare group
NPI 1568639037 (614) 383-6450
Access Behavioral LLC
76 mi
Medical Specialty
99 N BRICE RD, STE 220
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1437463213 (614) 322-9760
Grow Healthcare Group PA
996 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Pain Management Group LLC
  • Reassigned Medicare billing, Ohio enrollment
  • 58 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Improvement Activities40
Cost30.88

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.

SAVANNAH SANDERSON
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
DONNIECE KOONTZ
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
PAMELA ERD
Licensed Practical Nurse
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (614) 505-6400
KIMBERLY HAWKINS
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
AMANDA MAYS
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (614) 505-6400
FELICIA HAILEY
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
JULIE COATES
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
MICHAEL METZGER
Social Worker
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500

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 Yvonne Clark's NPI number?

The NPI number for Yvonne Clark is 1710963657. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Yvonne Clark located?

Yvonne Clark practices at 6300 N Main St, Dayton, OH 45415. The listed phone number is (937) 275-1500.

What is Yvonne Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Yvonne Clark enrolled in Medicare?

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

Which organizations bill Medicare for Yvonne Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yvonne Clark reassigns Medicare benefits to 8 organizations: Mahajan Therapeutics, LLC (Dayton, OH), Access Ohio, LLC (Dayton, OH), Clearing Path's Therapeutic Services, Ltd (Kettering, OH), Pain Evaluation & Management Center Of Ohio, Inc. (Centerville, OH), Integrated Pain Solutions Incorporated (Columbus, OH) and 3 more organizations, listed in the Medicare section above. Each 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 Yvonne Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yvonne Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 4 other insurers list Yvonne 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 Yvonne Clark was last updated on May 2, 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.