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HANNAH CLARK
NPI 1871237032
Physician Assistant in Salt Lake City, UT

Active since April 25, 2022PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
30 N 1900 E, SALT LAKE CITY, UT 84132(231) 463-4902 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2022, Apr 25, 2022 (2 updates tracked since 2022).

About Hannah Clark NPPES

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

HANNAH CLARK (NPI 1871237032) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (12635246-1206) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871237032
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHANNAH CLARK
Location Address30 N 1900 ESalt Lake City, UT 84132-0002
Mailing Address2483 E 2900 SSalt Lake City, UT 84109-1855
Phone(231) 463-4902
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 25, 2022
Last NPPES UpdateFebruary 15, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
✔ NPI 1871237032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 12635246-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 N 1900 E, Salt Lake City, UT 84132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hannah Clark 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.

PECOS PAC ID4789064585
PECOS Enrollment IDI20220711003204
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328
A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

DR. ANNE WIERMAN ESTARES D.O.
Anesthesiology
30 N 1900 E, RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (719) 314-5254
DR. JEFFREY DAVID DILLON M.D.
Anesthesiology
30 N 1900 E, ROOM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6393
QUINTON ALLRED PA-C
Physician Assistant (Medical)
30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7822
JEREMY ROYLE STODDART MD
Psychiatry & Neurology (Psychiatry)
30 N 1900 E, UNIVERSITY HOSPITAL,
SLC, UT 84132
Salt Lake County (801) 581-2121
DR. STEPHEN JAMES SUMMERS M.D.
Urology
30 N 1900 E, RM 3B420
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-2700
CHRISTINA MARIE DERBIDGE PHD
Psychologist (Clinical)
30 N 1900 E, ROOM SOM 1-B620
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6228
ANDRIA HOLMES HOLT RN
Nurse Practitioner (Obstetrics & Gynecology)
30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7647
ANDY NGUYEN
Internal Medicine
30 N 1900 E, SOM4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899

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 Hannah Clark's NPI number?

The NPI number for Hannah Clark is 1871237032. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Hannah Clark located?

Hannah Clark practices at 30 N 1900 E, Salt Lake City, UT 84132. The listed phone number is (231) 463-4902.

What is Hannah Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Hannah Clark enrolled in Medicare?

Yes. Hannah 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.

What insurance does Hannah Clark accept?

Health plans from Select Health list Hannah 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.

Is Hannah Clark affiliated with any hospitals?

According to CMS data, Hannah Clark is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Hannah Clark was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.