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CYNTHIA DAWN CLARK NP
NPI 1750808093
Nurse Practitioner in Rockwood, TN

Active since August 28, 2017PECOS Enrolled
1420 N GATEWAY AVE, ROCKWOOD, TN 37854(865) 354-7799 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2020, Sep 13, 2018, Aug 28, 2017 (3 updates tracked since 2017).

About Cynthia Dawn Clark Np NPPES

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

CYNTHIA DAWN CLARK NP (NPI 1750808093) is an individual nurse practitioner in Rockwood, Tennessee, licensed in Tennessee (22984) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750808093
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCYNTHIA DAWN CLARKCredential: NP
Location Address1420 N GATEWAY AVERockwood, TN 37854
Mailing Address1420 N Gateway AveRockwood, TN 37854-4111 · (865) 354-7799 · Fax (865) 354-7797
Phone(865) 354-7799
Sole ProprietorNo
Enumeration DateAugust 28, 2017
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1750808093 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 TN · 22984
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.
1420 N GATEWAY AVE, Rockwood, TN 37854
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Other Names 1

Other Name (5)Cyndi Dawn Ainsworth

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Dawn 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 37854 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

GLORIA FORTUNATO FNP
Nurse Practitioner
1420 N GATEWAY AVE
ROCKWOOD, TN 37854
Roane County (865) 354-7799
MELANIE BARNES LMSW
Social Worker
1420 N GATEWAY AVE
ROCKWOOD, TN 37854
Roane County (865) 354-7799
SUZANNE ALLEY PA-C
Physician Assistant
1420 N GATEWAY AVE
ROCKWOOD, TN 37854
Roane County (865) 354-7799
TARA MICHELLE ABERNATHY FNP
Nurse Practitioner (Family)
1420 N GATEWAY AVE
ROCKWOOD, TN 37854
Roane County (865) 354-7799

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 Cynthia Clark's NPI number?

The NPI number for Cynthia Clark is 1750808093. It was assigned to this individual provider in the NPPES registry on August 28, 2017. The provider is also known as Cyndi Dawn Ainsworth.

Where is Cynthia Clark located?

Cynthia Clark practices at 1420 N Gateway Ave, Rockwood, TN 37854. The listed phone number is (865) 354-7799.

What is Cynthia Clark's specialty?

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

Is Cynthia Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cynthia Clark was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.