SHANNON DENISE CLARK CNP
NPI 1881726271
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Q: What is Shannon Clark's NPI number?

The NPI number for Shannon Clark is 1881726271. It was assigned to this individual provider in the NPPES registry on March 12, 2007. The provider is also known as Shannon Denise Large Rn.

Q: What is Shannon 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 Shannon Clark was last updated on December 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment

2 EASTON OVAL STE 450, COLUMBUS, OH 43219(614) 475-9500(614) 475-9821 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2018, Apr 11, 2018 (2 updates tracked since 2018).

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About Shannon Denise Clark Cnp NPPES

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

SHANNON DENISE CLARK CNP (NPI 1881726271) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.023853) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orient, and is a graduate of Ohio State University College Of Medicine (2018).

NPPES Registry Identity

NPI1881726271

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHANNON DENISE CLARKCredential: CNP

Location Address2 EASTON OVAL STE 450Columbus, OH 43219-6035

Mailing Address2 Easton Oval Ste 450Columbus, OH 43219-6035 · (614) 475-9500 · Fax (614) 475-9821

Phone(614) 475-9500

Fax(614) 475-9821

Sole ProprietorYes

Medical School CMSOhio State University College Of MedicineGraduated 2018

Enumeration DateMarch 12, 2007

Last NPPES UpdateDecember 11, 20182 updates tracked since enumeration

✔ NPI 1881726271 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 OH · APRN.CNP.023853

Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X · License RN-253819 (OH)

2 EASTON OVAL STE 450, Columbus, OH 43219

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Other Names 1

Former Name (1)Shannon Denise Large Rn

Secondary Practice Location 1

Location 18256 Harrisburg RdOrient, OH 43146-9528 · Phone (614) 877-3631

Other Identifiers 1

Medicaid2716887OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and more.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

Shannon Denise Clark Cnp 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 ID9335486638

PECOS Enrollment IDI20190124001687

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 43219 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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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Other Providers at the Same Location NPPES 14

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

SHANNON L. LINDER CNP

Nurse Practitioner (Psychiatric/Mental Health)