RUSSELL PATRICK CLARK MD
NPI 1790787497
Emergency Medicine in North Las Vegas, NV
About Russell Patrick Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSELL PATRICK CLARK MD (NPI 1790787497) is an individual emergency medicine provider in North Las Vegas, Nevada, licensed in Nevada (10404) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Boulder City Hospital, and is a graduate of Tulane University School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Russell Patrick Clark Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Russell Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- 304 clinicians in this Medicare group
Boulder City, NV 89005
- Reassigned Medicare billing, Nevada enrollment
- 30 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boulder City Hospital
Critical Access Hospitals · Boulder City, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORTH LAS VEGAS, NV 89086
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 Russell Clark's NPI number?
The NPI number for Russell Clark is 1790787497. It was assigned to this individual provider in the NPPES registry on August 11, 2005.
Where is Russell Clark located?
Russell Clark practices at 6900 N Pecos Rd, North Las Vegas, NV 89086. The listed phone number is (702) 791-9000.
What is Russell Clark's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Russell Clark enrolled in Medicare?
Yes. Russell 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.
Which organizations bill Medicare for Russell Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Russell Clark reassigns Medicare benefits to 2 organizations: Fremont Emergency Services Scherr Ltd (North Las Vegas, NV) and Hoover Emergency Physicians LLC (Boulder City, NV). Each 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 Russell Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Russell Clark affiliated with any hospitals?
According to CMS data, Russell Clark is affiliated with Boulder City Hospital.
When was this NPI record last updated?
The NPPES record for Russell Clark was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Russell Patrick Clark, MD · NPI 1790787497
Emergency Medicine physician in North Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since August 11, 2005.
## Identity
- **NPI:** 1790787497 (Entity type: Individual)
- **Enumerated:** August 11, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 10404 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 6900 N PECOS RD, North Las Vegas, NV 89086-4400
- **Phone:** (702) 791-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fremont Emergency Services Scherr Ltd (NPI 1316488141, North Las Vegas, NV); Hoover Emergency Physicians LLC (NPI 1063713790, Boulder City, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** June 19, 2024
- **Other identifiers:** Medicaid 100504837 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1790787497) · Data from the CMS NPPES public registry.