MRS. SUSAN D. CLARK NP-C
NPI 1770964991
Nurse Practitioner - Family in Liberty, TX

Active since June 12, 2015PECOS Enrolled
1353 N TRAVIS ST, LIBERTY, TX 77575(936) 336-5881 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susan D. Clark Np-c NPPES

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

MRS. SUSAN D. CLARK NP-C (NPI 1770964991) is an individual family provider in Liberty, Texas, licensed in Texas (AP128323) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770964991
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSAN D. CLARKCredential: NP-C
Location Address1353 N TRAVIS STLiberty, TX 77575-3549
Mailing Address1353 N Travis StLiberty, TX 77575-3549 · (936) 336-5881
Sole ProprietorNo
Enumeration DateJune 12, 2015
NPI 1770964991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP128323
1353 N TRAVIS ST, Liberty, TX 77575

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Susan D. Clark Np-c 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.

Areas of Expertise CMS Part B claims 6

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.
108 services95 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
57 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services25 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
21 services21 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77575 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 15

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

Nurse Practitioner (Family)
1353 N TRAVIS ST
LIBERTY, TX 77575
Internal Medicine
1353 N TRAVIS ST
LIBERTY, TX 77575
Emergency Medicine
1353 N TRAVIS ST
LIBERTY, TX 77575
Physician Assistant (Medical)
1353 N TRAVIS ST
LIBERTY, TX 77575
General Acute Care Hospital (Critical Access)
1353 N TRAVIS ST
LIBERTY, TX 77575
Ambulance (Air Transport)
1353 N TRAVIS ST
LIBERTY, TX 77575
Nurse Practitioner
1353 N TRAVIS ST
LIBERTY, TX 77575
Physician Assistant
1353 N TRAVIS ST
LIBERTY, TX 77575

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 Susan Clark's NPI number?

The NPI number for Susan Clark is 1770964991. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Susan Clark located?

Susan Clark practices at 1353 N Travis St, Liberty, TX 77575. The listed phone number is (936) 336-5881.

What is Susan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Clark was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.