MR. LAMAR WAYNE CLARK CRNA
NPI 1831186063
Nurse Anesthetist, Certified Registered in Fayetteville, NC

Q: What is Lamar Clark's NPI number?

The NPI number for Lamar Clark is 1831186063. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Q: What is Lamar Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lamar Clark was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 03, 2005Accepts Medicare Assignment

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-5132(910) 321-6236 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Lamar Wayne Clark Crna NPPES

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

MR. LAMAR WAYNE CLARK CRNA (NPI 1831186063) is an individual nurse anesthetist, certified registered in Fayetteville, North Carolina, licensed in North Carolina (2712) and active in the NPI registry since October 2005. He is affiliated with Cape Fear Valley Medical Center and is a graduate of Other (2001).

NPPES Registry Identity

NPI1831186063

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. LAMAR WAYNE CLARKCredential: CRNA

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-6448 · Fax (910) 615-5070

Phone(910) 615-5132

Fax(910) 321-6236

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateOctober 3, 2005

Last NPPES UpdateJuly 2, 2025

NPPES CertifiedJuly 2, 2025

✔ NPI 1831186063 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

Licenses✔ Licensed in NC · 2712✔ Licensed in NC · 176844

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.

1638 OWEN DR, Fayetteville, NC 28304

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Other Identifiers 2

OtherD3745NC · Medcost

Medicaid8051599NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Lamar Wayne Clark Crna 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 ID8426190422

PECOS Enrollment IDI20100128000264

Medicare Billing Reassignment

Medicare enrollment records show Lamar Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cumberland County Hospital System Inc

Same address

Nurse Practitioner

1638 OWEN DR
Fayetteville, NC 28304

Reassigned Medicare billing, North Carolina enrollment
906 clinicians in this Medicare group

NPI 1063964708 (910) 615-5490

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340028

Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

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.

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.

MR. KEVIN TRAVIS WORTH CRNA

Nurse Anesthetist, Certified Registered