MR. CALVIN CLARK RN, MSN, ACNP-BC
NPI 1811298458
Nurse Practitioner - Acute Care in Lubbock, TX

Q: What is Calvin Clark's NPI number?

The NPI number for Calvin Clark is 1811298458. It was assigned to this individual provider in the NPPES registry on November 13, 2010.

Q: What is Calvin Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Calvin Clark was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 13, 2010PECOS Enrolled

808 JOLIET AVE UNIT 220, LUBBOCK, TX 79415(806) 761-0566(806) 744-7252 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Calvin Clark Rn, Msn, Acnp-bc NPPES

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

MR. CALVIN CLARK RN, MSN, ACNP-BC (NPI 1811298458) is an individual acute care provider in Lubbock, Texas, licensed in Texas (743836) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811298458

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMR. CALVIN CLARKCredential: RN, MSN, ACNP-BC

Location Address808 JOLIET AVE UNIT 220Lubbock, TX 79415-1158

Mailing Address5219 City Bank Pkwy Ste 35Lubbock, TX 79407-3545 · (806) 761-0333 · Fax (806) 785-7685

Phone(806) 761-0566

Fax(806) 744-7252

Sole ProprietorNo

Enumeration DateNovember 13, 2010

Last NPPES UpdateJanuary 31, 2019

✔ NPI 1811298458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 743836

808 JOLIET AVE UNIT 220, Lubbock, TX 79415

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Calvin Clark Rn, Msn, Acnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79415 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 9

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

DR. MICHAEL GENE MCPHERSON MD

Internal Medicine