STEPHANIE CLARK
NPI 1881143527
Nurse Practitioner - Psychiatric/Mental Health in Rock Island, IL

Q: What is Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1881143527. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Q: What is Stephanie Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment

2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-2031 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2021, May 21, 2018, Sep 22, 2016 (3 updates tracked since 2016).

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About Stephanie Clark NPPES

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

STEPHANIE CLARK (NPI 1881143527) is an individual psychiatric/mental health provider in Rock Island, Illinois, licensed in Iowa (G166476) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881143527

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSTEPHANIE CLARK

Location Address2701 17TH STRock Island, IL 61201

Mailing Address2701 17th StRock Island, IL 61201-5351 · (309) 779-2031

Phone(309) 779-2031

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 22, 2016

Last NPPES UpdateNovember 23, 20213 updates tracked since enumeration

NPPES CertifiedNovember 23, 2021

✔ NPI 1881143527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IA · G166476

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041.442753 (IL)

2701 17TH ST, Rock Island, IL 61201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Stephanie 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 ID9739576778

PECOS Enrollment IDI20220421002557, I20220907003215

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 3

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

58 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61201 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

DR. QUANG TUNG NGUYEN M.D.

Internal Medicine

2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201

Rock Island County (309) 779-3100

ARTHESIAN TILLERY

Counselor