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

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: July 19, 2026.

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
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

Other Identifiers 2

OtherD3745NC · Medcost
Medicaid8051599NC

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

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

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.

Physician Assistant
1638 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831186063, enumerated as an "individual" on October 03, 2005.

The provider is located at 1638 OWEN DR FAYETTEVILLE, NC 28304 and the phone number is (910) 615-5132.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Lamar Clark is affiliated with: CAPE FEAR VALLEY MEDICAL CENTER.