MS. CHRISTINA MACDONALD FRASER CLARK MSN.FNP
NPI 1861520504
Nurse Practitioner - Family in San Francisco, CA

Q: What is Christina Clark's NPI number?

The NPI number for Christina Clark is 1861520504. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Q: What is Christina Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Christina Clark was last updated on May 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 02, 2007PECOS Enrolled

330 ELLIS ST, GLIDE HEALTH SERVICES, SAN FRANCISCO, CA 94102(415) 674-6130(415) 673-1037 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ms. Christina Macdonald Fraser Clark Msn.fnp NPPES

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

MS. CHRISTINA MACDONALD FRASER CLARK MSN.FNP (NPI 1861520504) is an individual family provider in San Francisco, California, licensed in California (C367540) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861520504

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CHRISTINA MACDONALD FRASER CLARKCredential: MSN.FNP

Location Address330 ELLIS ST, GLIDE HEALTH SERVICESSan Francisco, CA 94102-2735

Mailing Address509 Tamalpais DrMill Valley, CA 94941-2659 · (415) 381-4735

Phone(415) 674-6130

Fax(415) 673-1037

Sole ProprietorNo

Enumeration DateMarch 2, 2007

Last NPPES UpdateMay 4, 2012

✔ NPI 1861520504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · C367540

330 ELLIS ST, San Francisco, CA 94102

Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN98809CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Christina Macdonald Fraser Clark Msn.fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94102 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.