MRS. MARIBETH COLLARD CLARK CRNP
NPI 1730577016
Nurse Practitioner in Mobile, AL

Q: What is Maribeth Clark's NPI number?

The NPI number for Maribeth Clark is 1730577016. It was assigned to this individual provider in the NPPES registry on January 8, 2015. The provider is also known as Maribeth Kathleen Collard-Clark Crnp.

Q: What is Maribeth Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maribeth Clark was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 January 08, 2015PECOS EnrolledAccepts Medicare Assignment

6801 AIRPORT BLVD, HOSPITALIST DEPT., MOBILE, AL 36608(251) 639-5775(251) 631-3581 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 13, 2025, Jan 7, 2025, Dec 13, 2024 (3 updates tracked since 2024).

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About Mrs. Maribeth Collard Clark Crnp NPPES

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

MRS. MARIBETH COLLARD CLARK CRNP (NPI 1730577016) is an individual nurse practitioner in Mobile, Alabama, licensed in Florida (APRN11036078) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730577016

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MARIBETH COLLARD CLARKCredential: CRNP

Location Address6801 AIRPORT BLVD, HOSPITALIST DEPT.Mobile, AL 36608-3709

Mailing Address6801 Airport Blvd, Hospitalist Dept.Mobile, AL 36608-3709 · (251) 639-5775 · Fax (251) 631-3581

Phone(251) 639-5775

Fax(251) 631-3581

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 8, 2015

Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1730577016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11036078

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11036078 (FL), 1-098071 (AL)

6801 AIRPORT BLVD, Mobile, AL 36608

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Other Names 1

Professional Name (2)Maribeth Kathleen Collard-clark Crnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.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

Mrs. Maribeth Collard Clark Crnp 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 ID4284092842

PECOS Enrollment IDI20241219003568

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.

Hospital Affiliations CMS Care Compare

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100025

Location5151 N 9th AvePensacola, FL 32504 · Escambia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 20

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

MRS. KATHLEEN R. CARLEN-MAGNONE CRNP

Nurse Practitioner (Acute Care)