1. Home
  2. Directory
  3. Connecticut
  4. Hartford
  5. Physician Assistant
  6. NPI Profile

MAUREEN ROSE CLARK PA-C
NPI 1871125187
Physician Assistant - Medical in Hartford, CT

Active since February 05, 2020PECOS Enrolled
80 SEYMOUR ST, HARTFORD, CT 06102(860) 545-5000 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maureen Rose Clark Pa-c NPPES

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

MAUREEN ROSE CLARK PA-C (NPI 1871125187) is an individual medical provider in Hartford, Connecticut, licensed in Connecticut (4722) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871125187
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMAUREEN ROSE CLARKCredential: PA-C
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address225 Frontier DrErie, PA 16505-2505 · (814) 528-3572
Phone(860) 545-5000
Sole ProprietorNo
Enumeration DateFebruary 5, 2020
✔ NPI 1871125187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 4722
80 SEYMOUR ST, Hartford, CT 06102
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen Rose Clark Pa-c 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.

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.

SUPARNA DUTTA M.D.
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2085
ANN T ZOGBAUM RD
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2697
DR. NISHA DHANABALSAMY MBBS
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0549
MATTHEW BAXTER PA
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALISON COUTURE WYSE CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALICE DIFRANCESCO MD
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
MICHELLE MAY ROE APRN
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2824
DR. VESAL YAGHOOBI MD
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-6113

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 Maureen Clark's NPI number?

The NPI number for Maureen Clark is 1871125187. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Where is Maureen Clark located?

Maureen Clark practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 545-5000.

What is Maureen Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maureen Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Maureen Clark was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.