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MINNIE R CLARK NP
NPI 1811581762
Nurse Practitioner - Adult Health in Medina, NY

Active since February 22, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Minnie R Clark Np NPPES

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

MINNIE R CLARK NP (NPI 1811581762) is an individual adult health provider in Medina, New York, licensed in New York (310179) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811581762
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMINNIE R CLARKCredential: NP
Location Address200 OHIO STMedina, NY 14103-1063
Mailing Address1642 Blood RdLyndonville, NY 14098-9606 · (585) 590-6431
Phone(585) 798-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1811581762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 310179
200 OHIO ST, Medina, NY 14103
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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 and accepts Medicare assignment

Minnie R Clark Np 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 ID5890194450
PECOS Enrollment IDI20210602000300
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.

Hospital Affiliations CMS Care Compare 3

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Medina Memorial Hospital

Critical Access Hospitals · Medina, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331319
Location200 Ohio StreetMedina, NY 14103 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14103 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DALE W SPONAUGLE MD
Radiology (Diagnostic Radiology)
200 OHIO ST
MEDINA, NY 14103
Orleans County (585) 798-8054
IAN MICHAEL KENNEDY DPT
Physical Therapist
200 OHIO ST
MEDINA, NY 14103
Orleans County (585) 798-2000
NEW YORK PHYSICIAN MEDICAL SERVICES, PLLC
Emergency Medicine
200 OHIO ST
MEDINA, NY 14103
Orleans County (585) 798-2000
CATHERINE FITZGERALD-PARADA SLP
Speech-Language Pathologist
200 OHIO ST
MEDINA, NY 14103
Orleans County (585) 798-2000
MS. SAMANTHA GRACE NELSON
Occupational Therapy Assistant
200 OHIO ST
MEDINA, NY 14103
Orleans County (585) 798-2000
MARY ELIZABETH LUHR JOHNSON CRNA
Nurse Anesthetist, Certified Registered
200 OHIO ST
MEDINA, NY 14103
Orleans County (585) 798-8300
ORLEANS COMMUNITY HEALTH MEDICAL PRACTICE PC
Family Medicine
200 OHIO ST
MEDINA, NY 14103
Orleans County (585) 798-8422
SELECT REHABILITATION
Physical Therapy Assistant
200 OHIO ST
MEDINA, NY 14103
Orleans County (585) 798-2000

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 Minnie Clark's NPI number?

The NPI number for Minnie Clark is 1811581762. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Minnie Clark located?

Minnie Clark practices at 200 Ohio St, Medina, NY 14103. The listed phone number is (585) 798-2000.

What is Minnie Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Minnie Clark enrolled in Medicare?

Yes. Minnie 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.

Is Minnie Clark affiliated with any hospitals?

According to CMS data, Minnie Clark is affiliated with Rochester General Hospital, Strong Memorial Hospital and Medina Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Minnie Clark was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.