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CASANDRA JEWEL CLARK
NPI 1902231210
Student in an Organized Health Care Education/Training Program in Cottage Grove, MN

Active since September 05, 2013PECOS Enrolled
8682 INWOOD AVE S, COTTAGE GROVE, MN 55016(651) 341-9660 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2022, May 9, 2019 (2 updates tracked since 2019).

About Casandra Jewel Clark NPPES

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

CASANDRA JEWEL CLARK (NPI 1902231210) is an individual student in an organized health care education/training program in Cottage Grove, Minnesota and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902231210
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCASANDRA JEWEL CLARK
Location Address8682 INWOOD AVE SCottage Grove, MN 55016-4716
Mailing Address15251 Pleasant Valley RdCenter City, MN 55012-9640 · (651) 213-4184
Phone(651) 341-9660
Sole ProprietorYes
Enumeration DateSeptember 5, 2013
Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1902231210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP5929 (MN)
8682 INWOOD AVE S, Cottage Grove, MN 55016
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Secondary Practice Locations 2

Location 12265 Como AveSaint Paul, MN 55108-1737 · Phone (866) 821-0281
Location 215251 Pleasant Valley RdCenter City, MN 55012-9640 · Phone (651) 213-4184

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casandra Jewel Clark 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.

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 Casandra Clark's NPI number?

The NPI number for Casandra Clark is 1902231210. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Casandra Clark located?

Casandra Clark practices at 8682 Inwood Ave S, Cottage Grove, MN 55016. The listed phone number is (651) 341-9660.

What is Casandra Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Casandra Clark enrolled in Medicare?

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

What insurance does Casandra Clark accept?

Health plans from Harvard Pilgrim Health Care list Casandra 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 Casandra Clark was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.