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CASSIDY RAE CLARK PA-C
NPI 1821680067
Physician Assistant in Winston Salem, NC

Active since February 09, 2021PECOS EnrolledAccepts Medicare Assignment
MEDICAL CENTER BOULEVARD 7TH FLOOR, WINSTON SALEM, NC 27157(336) 716-3182 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2021, Jul 12, 2021, Feb 9, 2021 (3 updates tracked since 2021).

About Cassidy Rae Clark Pa-c NPPES

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

CASSIDY RAE CLARK PA-C (NPI 1821680067) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-11035) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821680067
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCASSIDY RAE CLARKCredential: PA-C
Location AddressMEDICAL CENTER BOULEVARD 7TH FLOORWinston Salem, NC 27157-7768
Mailing AddressMedical Center Boulevard 7th FloorWinston Salem, NC 27157-7768 · (336) 716-3182
Phone(336) 716-3182
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 9, 2021
Last NPPES UpdateAugust 6, 20213 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1821680067 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 NC · 0010-11035
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.
MEDICAL CENTER BOULEVARD 7TH FLOOR, Winston Salem, NC 27157
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Cassidy Rae 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 ID5799189916
PECOS Enrollment IDI20210811000176
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
74 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services19 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Cassidy Clark's NPI number?

The NPI number for Cassidy Clark is 1821680067. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Where is Cassidy Clark located?

Cassidy Clark practices at Medical Center Boulevard 7th Floor, Winston Salem, NC 27157. The listed phone number is (336) 716-3182.

What is Cassidy Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cassidy Clark enrolled in Medicare?

Yes. Cassidy 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.

What insurance does Cassidy Clark accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Cassidy Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cassidy Clark affiliated with any hospitals?

According to CMS data, Cassidy Clark is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Cassidy Clark was last updated on August 6, 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.