STEPHANIE CLARK NP
NPI 1851795595
Nurse Practitioner - Psychiatric/Mental Health in Poplar Bluff, MO
About Stephanie Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE CLARK NP (NPI 1851795595) is an individual psychiatric/mental health provider in Poplar Bluff, Missouri, licensed in Iowa (G170123) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Stephanie Clark Np 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 Reassignments
7Medicare enrollment records show Stephanie Clark reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Malden, MO 63863
- Reassigned Medicare billing, Missouri enrollment
- 116 clinicians in this Medicare group
Cape Girardeau, MO 63703
- Reassigned Medicare billing, Missouri enrollment
- 19 clinicians in this Medicare group
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 41 clinicians in this Medicare group
Forsyth, IL 62535
- Reassigned Medicare billing, Illinois, Kansas and Maine enrollments
- 11 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Iowa and Missouri enrollments
- 28 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Iowa and Missouri enrollments
- 28 clinicians in this Medicare group
Missouri City, TX 77459
- Reassigned Medicare billing, Indiana, Missouri, Ohio and Texas enrollments
- 9 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
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 Stephanie Clark's NPI number?
The NPI number for Stephanie Clark is 1851795595. It was assigned to this individual provider in the NPPES registry on October 9, 2014.
Where is Stephanie Clark located?
Stephanie Clark practices at 1500 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4151.
What is Stephanie Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stephanie Clark enrolled in Medicare?
Yes. Stephanie 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 organizations bill Medicare for Stephanie Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Clark reassigns Medicare benefits to 7 organizations: Mcpherson Medical & Diagnostic, LLC (Malden, MO), Cape Girardeau Behavioral Health LLC (Cape Girardeau, MO), Missouri United Psych LLC (Cape Girardeau, MO), Tp Health Tx PC (Forsyth, IL), Psychiatry Of Texas PLLC (Houston, TX) and 2 more organizations, listed in the Medicare section above. Each 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 Stephanie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Clark accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 17 other insurers list Stephanie 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.
When was this NPI record last updated?
The NPPES record for Stephanie Clark was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Stephanie Clark, NP · NPI 1851795595
Psychiatric/Mental Health physician in Poplar Bluff, Missouri. Individual provider, active in the CMS NPPES registry since October 9, 2014.
## Identity
- **NPI:** 1851795595 (Entity type: Individual)
- **Enumerated:** October 9, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** G170123 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901-3318
- **Phone:** (573) 686-4151
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Mcpherson Medical & Diagnostic, LLC (NPI 1003407883, Malden, MO); Cape Girardeau Behavioral Health LLC (NPI 1700485281, Cape Girardeau, MO); Missouri United Psych LLC (NPI 1255207023, Cape Girardeau, MO); Tp Health Tx PC (NPI 1518544527, Forsyth, IL); Psychiatry Of Texas PLLC (NPI 1013476027, Houston, TX); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 2, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1851795595) · Data from the CMS NPPES public registry.