BRIAN KELLY CLARK CRNA
NPI 1821059403
Nurse Anesthetist, Certified Registered in Hampton, VA

Active since March 31, 2006
95.21/100
CMS Quality Rating
501 MEDICAL DR, HAMPTON, VA 23666(703) 295-9360(703) 295-9369 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Kelly Clark Crna NPPES

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

BRIAN KELLY CLARK CRNA (NPI 1821059403) is an individual nurse anesthetist, certified registered in Hampton, Virginia, licensed in Virginia (0024165065) and active in the NPI registry since March 2006. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1821059403
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRIAN KELLY CLARKCredential: CRNA
Location Address501 MEDICAL DRHampton, VA 23666-6080
Mailing AddressPo Box 37090Baltimore, MD 21297-3090 · (703) 295-9360 · Fax (703) 295-9369
Fax(703) 295-9369
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateMarch 8, 2022
NPPES CertifiedFebruary 23, 2022
NPI 1821059403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in VA · 0024165065
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
501 MEDICAL DR, Hampton, VA 23666

Secondary Practice Locations 4

Location 112 St Paul Drive, WellSpan AnesthesiologyChambersburg, PA 17201 · Phone (717) 217-6072
Location 2112 North 7th Street, WellSpan AnesthesiologyChambersburg, PA 17201 · Phone (717) 267-7164
Location 3835 5th Ave, WellSpan AnesthesiologyChambersburg, PA 17201 · Phone (717) 217-4312
Location 4501 East Main Street, WellSpan AnesthesiologyWaynesboro, PA 17268 · Phone (717) 765-3425

Other Identifiers 1

Medicaid010170699VA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Anesthesiology
501 MEDICAL DR, HAMPTON ROADS GASTROENTEROLOGY
HAMPTON, VA 23666
Internal Medicine (Gastroenterology)
501 MEDICAL DR
HAMPTON, VA 23666
Internal Medicine (Gastroenterology)
501 MEDICAL DR
HAMPTON, VA 23666
Internal Medicine (Gastroenterology)
501 MEDICAL DR
HAMPTON, VA 23666
Internal Medicine (Gastroenterology)
501 MEDICAL DR
HAMPTON, VA 23666
Nurse Anesthetist, Certified Registered
501 MEDICAL DR
HAMPTON, VA 23666
Anesthesiology
501 MEDICAL DR
HAMPTON, VA 23666

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 Brian Clark's NPI number?

The NPI number for Brian Clark is 1821059403. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Brian Clark located?

Brian Clark practices at 501 Medical Dr, Hampton, VA 23666. The listed phone number is (703) 295-9360.

What is Brian Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Brian Clark was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.