DR. JESSICA A. CLARK PH.D.
NPI 1831458470
Clinical Neuropsychologist in Washington, DC
About Dr. Jessica A. Clark Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSICA A. CLARK PH.D. (NPI 1831458470) is an individual clinical neuropsychologist in Washington, District Of Columbia and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Jessica A. Clark Ph.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1376887844 (Maryland)
- 3,530 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
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 Jessica Clark's NPI number?
The NPI number for Jessica Clark is 1831458470. It was assigned to this individual provider in the NPPES registry on May 15, 2012.
Where is Jessica Clark located?
Jessica Clark practices at 102 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-1915.
What is Jessica Clark's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Jessica Clark enrolled in Medicare?
Yes. Jessica 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.
Which organization bills Medicare for Jessica Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clark reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Clark was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Jessica A. Clark, PH.D. · NPI 1831458470
Clinical Neuropsychologist provider in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since May 15, 2012.
## Identity
- **NPI:** 1831458470 (Entity type: Individual)
- **Enumerated:** May 15, 2012
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 102 IRVING ST NW, Washington, DC 20010-2921
- **Phone:** (202) 877-1915
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1023836137, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 15, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1831458470) · Data from the CMS NPPES public registry.