CHRISTY MARIE CLARK AGACNP-BC
NPI 1902421555
Nurse Practitioner - Acute Care in Danville, VA
About Christy Marie Clark Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTY MARIE CLARK AGACNP-BC (NPI 1902421555) is an individual acute care provider in Danville, Virginia, licensed in Virginia (0024179442) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Christy Marie Clark Agacnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Christy Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Danville, VA 24541
- Reassigned Medicare billing, Virginia enrollment
- 757 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centra Health - Lynchburg Gen Hospital
Acute Care Hospitals · Lynchburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Christy Clark's NPI number?
The NPI number for Christy Clark is 1902421555. It was assigned to this individual provider in the NPPES registry on June 10, 2020.
Where is Christy Clark located?
Christy Clark practices at 516 Vance Hill Rd, Danville, VA 24540. The listed phone number is (434) 770-2205.
What is Christy Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Christy Clark enrolled in Medicare?
Yes. Christy Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Christy Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christy Clark reassigns Medicare benefits to Centra Medical Group, LLC (Danville, VA). 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 Christy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Christy Clark affiliated with any hospitals?
According to CMS data, Christy Clark is affiliated with Centra Health - Lynchburg Gen Hospital.
When was this NPI record last updated?
The NPPES record for Christy Clark was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Christy Marie Clark, AGACNP-BC · NPI 1902421555
Acute Care physician in Danville, Virginia. Individual provider, active in the CMS NPPES registry since June 10, 2020.
## Identity
- **NPI:** 1902421555 (Entity type: Individual)
- **Enumerated:** June 10, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 0024179442 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 VANCE HILL RD, Danville, VA 24540-6406
- **Phone:** (434) 770-2205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centra Medical Group, LLC (NPI 1790552172, Danville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1902421555) · Data from the CMS NPPES public registry.