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MS. CHRISTINE CARON CLARK DPM
NPI 1770515967
Podiatrist in Las Vegas, NV

Active since July 07, 2006PECOS Enrolled
2421 TECH CENTER CT, #108, LAS VEGAS, NV 89128(702) 642-4405(702) 642-6775 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Christine Caron Clark Dpm NPPES

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

MS. CHRISTINE CARON CLARK DPM (NPI 1770515967) is an individual podiatrist in Las Vegas, Nevada, licensed in Nevada (8702) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770515967
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameMS. CHRISTINE CARON CLARKCredential: DPM
Location Address2421 TECH CENTER CT, #108Las Vegas, NV 89128
Mailing AddressPo Box 34844Las Vegas, NV 89133-0844 · (702) 642-4405 · Fax (702) 642-6775
Phone(702) 642-4405
Fax(702) 642-6775
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770515967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NV · 8702
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2421 TECH CENTER CT, Las Vegas, NV 89128
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Other Identifiers 1

Medicare UPINT67169

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Christine Caron Clark Dpm 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.

Medicare Billing Reassignment

Medicare enrollment records show Christine Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christine C Clark Ltd
Same address
Podiatrist
2441 TECH CENTER CT, #103
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
NPI 1841649779 (702) 642-4405

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 4

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
347 services141 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
35 services19 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
32 services32 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

Other Providers at the Same Location NPPES 6

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

JMC COMMUNITY SERVICES, LLC
Case Management
2421 TECH CENTER CT, STE 108
LAS VEGAS, NV 89128
Clark County (702) 245-1567
DONALD WAYNE JOHNSON JR.
Behavior Analyst
2421 TECH CENTER CT, STE 108
LAS VEGAS, NV 89128
Clark County (702) 245-1567
NADINE LEONE MFT
Marriage & Family Therapist
2421 TECH CENTER CT, SUITE 100
LAS VEGAS, NV 89128
Clark County (702) 648-2945
DENISE TROPEA DPM, INC
Podiatrist
2421 TECH CENTER CT, SUITE 108
LAS VEGAS, NV 89128
Clark County (702) 228-5018
MRS. JENNIFER JOHNNAE TRAVIS
Psychologist (Cognitive & Behavioral)
2421 TECH CENTER CT
LAS VEGAS, NV 89128
Clark County (702) 560-1898
DR. DENISE TROPEA DPM
Podiatrist
2421 TECH CENTER CT, STE 108
LAS VEGAS, NV 89128
Clark County (702) 228-5018

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 Christine Clark's NPI number?

The NPI number for Christine Clark is 1770515967. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Christine Clark located?

Christine Clark practices at 2421 Tech Center Ct #108, Las Vegas, NV 89128. The listed phone number is (702) 642-4405.

What is Christine Clark's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Christine Clark enrolled in Medicare?

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

Which organization bills Medicare for Christine Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Clark reassigns Medicare benefits to Christine C Clark Ltd (Las Vegas, NV). 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 Christine Clark'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 Christine Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.