MS. MYRLITA SHAWN CLARK NP,C
NPI 1871729889
Nurse Practitioner - Gerontology in Philadelphia, PA

Q: What is Myrlita Clark's NPI number?

The NPI number for Myrlita Clark is 1871729889. It was assigned to this individual provider in the NPPES registry on June 4, 2009.

Q: What is Myrlita Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Myrlita Clark was last updated on April 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2009PECOS Enrolled

1999 W HUNTING PARK AVE, PHILADELPHIA, PA 19140(215) 228-9300(215) 228-9913 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Myrlita Shawn Clark Np,c NPPES

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

MS. MYRLITA SHAWN CLARK NP,C (NPI 1871729889) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SPO10333) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871729889

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMS. MYRLITA SHAWN CLARKCredential: NP,C

Location Address1999 W HUNTING PARK AVEPhiladelphia, PA 19140-2828

Mailing Address432 N 6th StPhiladelphia, PA 19123-4004 · (215) 925-2400 · Fax (215) 925-9162

Phone(215) 228-9300

Fax(215) 228-9913

Sole ProprietorNo

Enumeration DateJune 4, 2009

Last NPPES UpdateApril 19, 2016

✔ NPI 1871729889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in PA · SPO10333

1999 W HUNTING PARK AVE, Philadelphia, PA 19140

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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. Myrlita Shawn Clark Np,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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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