SUSANNAH J. CLARK PA-C
NPI 1770805202
Physician Assistant in Lowell, MA

Q: What is Susannah Clark's NPI number?

The NPI number for Susannah Clark is 1770805202. It was assigned to this individual provider in the NPPES registry on February 25, 2010.

Q: What is Susannah Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susannah Clark was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 February 25, 2010PECOS EnrolledAccepts Medicare Assignment

275 VARNUM AVE STE 203, LOWELL, MA 01854(978) 458-4300(978) 458-4311 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2025, Oct 28, 2022 (2 updates tracked since 2022).

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About Susannah J. Clark Pa-c NPPES

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

SUSANNAH J. CLARK PA-C (NPI 1770805202) is an individual physician assistant in Lowell, Massachusetts, licensed in Massachusetts (PA3930) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1770805202

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSUSANNAH J. CLARKCredential: PA-C

Location Address275 VARNUM AVE STE 203Lowell, MA 01854-2109

Mailing Address275 Varnum Ave Ste 203Lowell, MA 01854-2109 · (978) 458-4300 · Fax (978) 458-4311

Phone(978) 458-4300

Fax(978) 458-4311

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateFebruary 25, 2010

Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1770805202 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 MA · PA3930

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.

275 VARNUM AVE STE 203, Lowell, MA 01854

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Secondary Practice Location 1

Location 1235 N Pearl StBrockton, MA 02301-1794 · Phone (508) 427-3180 · Fax (508) 427-2209

Other Identifiers 1

Medicaid110121498AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Susannah J. 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 ID7012042195

PECOS Enrollment IDI20100506000339

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 2

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 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.

61 services55 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · Middlesex County

Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01854 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

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Other Providers at the Same Location NPPES 10

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

GWENDOLYN RAE MORROW ARNP

Nurse Practitioner (Obstetrics & Gynecology)