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MAR KESHIA CLARKE NP
NPI 1730228388
Nurse Practitioner in Hawthorne, CA

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
12618 HAWTHORNE BLVD, HAWTHORNE, CA 90250(310) 263-5700 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mar Keshia Clarke Np NPPES

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

MAR KESHIA CLARKE NP (NPI 1730228388) is an individual nurse practitioner in Hawthorne, California, licensed in California (15097) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gardena, and is a graduate of University Of California, Geffen School Of Medicine (2004).

NPPES Registry Identity

NPI1730228388
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAR KESHIA CLARKECredential: NP
Location Address12618 HAWTHORNE BLVDHawthorne, CA 90250-3907
Mailing Address21311 Madrona Ave Ste 101Torrance, CA 90503-5970 · (866) 909-3627
Phone(310) 263-5700
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2004
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1730228388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 15097
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12618 HAWTHORNE BLVD, Hawthorne, CA 90250
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Secondary Practice Location 1

Location 1742 W Gardena BlvdGardena, CA 90247-5024 · Phone (310) 802-6177 · Fax (310) 802-6178

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mar Keshia Clarke Np 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 ID7719105808
PECOS Enrollment IDI20230726002891
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 Reassignment

Medicare enrollment records show Mar Keshia Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Institute
5.5 mi
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
NPI 1235182569 (310) 793-8075

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 6

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.
84 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
41 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90250 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

DESIRAE A. SEGURA ARNP
Nurse Practitioner (Family)
12618 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Los Angeles County (310) 263-5700
MRS. JESSICA ANNE-MARIE AUZENNE-HARRIS NP
Nurse Practitioner (Adult Health)
12618 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Los Angeles County (310) 792-4012
BAHAR EHFAD PHD
Psychologist
12618 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Los Angeles County (310) 263-5700
NATALIE E BEAL
Registered Nurse
12618 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Los Angeles County (310) 263-5700

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 Mar Keshia Clarke's NPI number?

The NPI number for Mar Keshia Clarke is 1730228388. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Mar Keshia Clarke located?

Mar Keshia Clarke practices at 12618 Hawthorne Blvd, Hawthorne, CA 90250. The listed phone number is (310) 263-5700.

What is Mar Keshia Clarke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mar Keshia Clarke enrolled in Medicare?

Yes. Mar Keshia Clarke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mar Keshia Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mar Keshia Clarke reassigns Medicare benefits to Providence Medical Institute (Torrance, CA). 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 Mar Keshia Clarke'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 Mar Keshia Clarke was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.