MR. JUSTIN CLARK PA-C
NPI 1801493226
Physician Assistant in Phoenix, AZ

Q: What is Justin Clark's NPI number?

The NPI number for Justin Clark is 1801493226. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Q: What is Justin 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 Justin Clark was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 08, 2020PECOS EnrolledAccepts Medicare Assignment

645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012(480) 500-2545 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 11, 2022, Oct 26, 2020, Oct 8, 2020 (3 updates tracked since 2020).

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About Mr. Justin Clark Pa-c NPPES

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

MR. JUSTIN CLARK PA-C (NPI 1801493226) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (9159) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801493226

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JUSTIN CLARKCredential: PA-C

Location Address645 E MISSOURI AVE STE 300Phoenix, AZ 85012-1351

Mailing Address330 E Roosevelt St Apt 3025Phoenix, AZ 85004-4306 · (260) 312-7090 · Fax (602) 603-5322

Phone(480) 500-2545

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 8, 2020

Last NPPES UpdateJune 25, 20263 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1801493226 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 AZ · 9159

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.

645 E MISSOURI AVE STE 300, Phoenix, AZ 85012

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Other Identifiers 1

Other9159AZ · Arizona Regulatory Board Of Physician Assistants

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, AvMed, Blue Cross Blue Shield of Arizona and more.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

Mr. Justin 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 ID5799165031

PECOS Enrollment IDI20260310000737

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

107 services107 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

58 services58 patients

Hospital Affiliations CMS Care Compare

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340131

Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

BETH MARIE RANNEY MD

Emergency Medicine