JACQUELYN SUE GRACE CLARK DO
NPI 1780334656
Family Medicine in Crossett, AR

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
909 UNITY RD, CROSSETT, AR 71635(870) 364-9111 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Sue Grace Clark Do NPPES

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

JACQUELYN SUE GRACE CLARK DO (NPI 1780334656) is an individual family medicine provider in Crossett, Arkansas, licensed in Arkansas (E-19213) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2022).

NPPES Registry Identity

NPI1780334656
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELYN SUE GRACE CLARKCredential: DO
Location Address909 UNITY RDCrossett, AR 71635-9444
Mailing Address909 Unity RdCrossett, AR 71635-9444 · (870) 364-9111
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1780334656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · E-19213
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
909 UNITY RD, Crossett, AR 71635

Accepted 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

Jacquelyn Sue Grace Clark Do 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 ID4880081199
PECOS Enrollment IDI20250729004884
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 71635 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 13

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

Pharmacist
909 UNITY RD
CROSSETT, AR 71635
Pharmacist
909 UNITY RD
CROSSETT, AR 71635
Pharmacist
909 UNITY RD
CROSSETT, AR 71635
Pharmacy (Community/Retail Pharmacy)
909 UNITY RD
CROSSETT, AR 71635
Pharmacist
909 UNITY RD
CROSSETT, AR 71635
Family Medicine
909 UNITY RD
CROSSETT, AR 71635
Nurse Practitioner (Family)
909 UNITY RD
CROSSETT, AR 71635
Pharmacy (Long Term Care Pharmacy)
909 UNITY RD
CROSSETT, AR 71635

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 Jacquelyn Clark's NPI number?

The NPI number for Jacquelyn Clark is 1780334656. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Jacquelyn Clark located?

Jacquelyn Clark practices at 909 Unity Rd, Crossett, AR 71635. The listed phone number is (870) 364-9111.

What is Jacquelyn Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacquelyn Clark enrolled in Medicare?

Yes. Jacquelyn 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.

What insurance does Jacquelyn Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Jacquelyn Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Clark was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.