MS. BONNIE LOU CLARK PMHNP-BC
NPI 1831472133
Nurse Practitioner - Psychiatric/Mental Health in Jeffersonville, IN

Q: What is Bonnie Clark's NPI number?

The NPI number for Bonnie Clark is 1831472133. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Q: What is Bonnie Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Clark was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 22, 2011PECOS Enrolled

131 E COURT AVE STE 101, JEFFERSONVILLE, IN 47130(502) 208-1357(812) 248-3388 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, May 11, 2017 (2 updates tracked since 2017).

On this page

About Ms. Bonnie Lou Clark Pmhnp-bc NPPES

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

MS. BONNIE LOU CLARK PMHNP-BC (NPI 1831472133) is an individual psychiatric/mental health provider in Jeffersonville, Indiana, licensed in Indiana (71003710A) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831472133

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. BONNIE LOU CLARKCredential: PMHNP-BC

Location Address131 E COURT AVE STE 101Jeffersonville, IN 47130-3600

Mailing Address3018 Plantation DrSellersburg, IN 47172-9174 · (502) 208-1357 · Fax (812) 248-3388

Phone(502) 208-1357

Fax(812) 248-3388

Sole ProprietorYes

Enumeration DateSeptember 22, 2011

Last NPPES UpdateApril 3, 20262 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1831472133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71003710A

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71003710A (IN)

131 E COURT AVE STE 101, Jeffersonville, IN 47130

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Bonnie Lou Clark Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

Behavioral Healthcare Management LLC

6.7 mi

Psychiatry

4010 DUPONT CIR, SUITE 565
Louisville, KY 40207

Reassigned Medicare billing, Indiana enrollment
4 clinicians in this Medicare group

NPI 1225451024 (502) 895-1611

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47130 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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 Bonnie Clark's NPI number?

The NPI number for Bonnie Clark is 1831472133. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Bonnie Clark located?

Bonnie Clark practices at 131 E Court Ave Ste 101, Jeffersonville, IN 47130. The listed phone number is (502) 208-1357.

What is Bonnie Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bonnie Clark enrolled in Medicare?

Yes. Bonnie Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bonnie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Clark reassigns Medicare benefits to Behavioral Healthcare Management LLC (Louisville, KY). 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 Bonnie 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 Bonnie Clark was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.