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KELLI ANN CLARK PA-C
NPI 1760118228
Physician Assistant in Hershey, PA

Active since July 27, 2022PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
30 HOPE DR, HERSHEY, PA 17033(717) 531-3828(717) 531-4694 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli Ann Clark Pa-c NPPES

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

KELLI ANN CLARK PA-C (NPI 1760118228) is an individual physician assistant in Hershey, Pennsylvania, licensed in Pennsylvania (OA006130) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760118228
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI ANN CLARKCredential: PA-C
Location Address30 HOPE DRHershey, PA 17033-2036
Mailing Address263 Hemlock CtHershey, PA 17033-3204
Phone(717) 531-3828
Fax(717) 531-4694
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
✔ NPI 1760118228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · OA006130
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 HOPE DR, Hershey, PA 17033
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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

Kelli Ann Clark Pa-c 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 ID4385027424
PECOS Enrollment IDI20220822003531
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.

Areas of Expertise CMS Part B claims 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
129 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services26 patients
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.
24 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

MR. JUSTIN TAYLOR LOWE
Physician Assistant
30 HOPE DR, SUITE 1300
HERSHEY, PA 17033
Dauphin County (717) 531-3828
DR. DAVID WILLIAM BARTON MD
Orthopaedic Surgery (Orthopaedic Trauma)
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (717) 531-5638
EDWARD J FOX MD
Orthopaedic Surgery
30 HOPE DR, EC-089
HERSHEY, PA 17033
Dauphin County (800) 233-4082
BETHANY GRACE HAN CRNP
Nurse Practitioner
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (717) 531-5638
TAMMY MARIE MILLER PA-C
Physician Assistant
30 HOPE DR, BUILDING B, SUITE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
MRS. TERESA ANN KALINAY PT
Physical Therapist
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455
ENYINNA L NWACHUKU M.D.
Neurological Surgery
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. YOHANCE MANDELA ALLETTE MD, PHD
Psychiatry & Neurology (Neurology)
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (717) 531-3828

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 Kelli Clark's NPI number?

The NPI number for Kelli Clark is 1760118228. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Kelli Clark located?

Kelli Clark practices at 30 Hope Dr, Hershey, PA 17033. The listed phone number is (717) 531-3828.

What is Kelli Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelli Clark enrolled in Medicare?

Yes. Kelli Clark 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.

Is Kelli Clark affiliated with any hospitals?

According to CMS data, Kelli Clark is affiliated with Penn State Health St. Joseph, Lancaster General Hospital, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Clark was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.