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

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: October 18, 2026.

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Myrlita Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater Philadelphia Health Action, Inc.
Same address
Federally Qualified Health Center (FQHC)
1999 W HUNTING PARK AVE
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 232 clinicians in this Medicare group
NPI 1063466068 (215) 228-9300

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 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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREATER PHILADELPHIA HEALTH ACTION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1999 W HUNTING PARK AVE
PHILADELPHIA, PA 19140
Philadelphia County (215) 228-9300
KYRA VALENTINE
Family Medicine
1999 W HUNTING PARK AVE
PHILADELPHIA, PA 19140
Philadelphia County (888) 296-4742
TAMMY LE DINH RDH
Dental Hygienist
1999 W HUNTING PARK AVE
PHILADELPHIA, PA 19140
Philadelphia County (215) 229-1390
ELIZABETH WARREN
Nurse Practitioner (Family)
1999 W HUNTING PARK AVE
PHILADELPHIA, PA 19140
Philadelphia County (215) 228-9300
REBECCA WEAVER LCSW
Social Worker (Clinical)
1999 W HUNTING PARK AVE
PHILADELPHIA, PA 19140
Philadelphia County (215) 228-9300
GREATER PHILADELPHIA HEALTH ACTION INC.
Pharmacy
1999 W HUNTING PARK AVE
PHILADELPHIA, PA 19140
Philadelphia County (267) 388-1660
GREATER PHILADELPHIA HEALTH ACTION INC.
Clinic/Center (Dental)
1999 W HUNTING PARK AVE
PHILADELPHIA, PA 19140
Philadelphia County (215) 229-1390
MS. MIMI KIRK LCSW
Social Worker (Clinical)
1999 W HUNTING PARK AVE
PHILA, PA 19140
Philadelphia County (215) 228-9300

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 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.

Where is Myrlita Clark located?

Myrlita Clark practices at 1999 W Hunting Park Ave, Philadelphia, PA 19140. The listed phone number is (215) 228-9300.

What is Myrlita Clark's specialty?

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

Is Myrlita Clark enrolled in Medicare?

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

Which organization bills Medicare for Myrlita Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myrlita Clark reassigns Medicare benefits to Greater Philadelphia Health Action, Inc. (Philadelphia, PA). The 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 Myrlita Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Myrlita Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Myrlita 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 Myrlita Clark was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.