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MS. JULIE ANN CLARKE FNP-C
NPI 1912414384
Nurse Practitioner - Family in Lexington, SC

Active since January 05, 2018PECOS EnrolledAccepts Medicare Assignment
PO BOX 2169, LEXINGTON, SC 29071(803) 358-8496 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2025, Mar 17, 2025, Dec 10, 2021 and 2 more (5 updates tracked since 2020).

About Ms. Julie Ann Clarke Fnp-c NPPES

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

MS. JULIE ANN CLARKE FNP-C (NPI 1912414384) is an individual family provider in Lexington, South Carolina, licensed in South Carolina (25993) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912414384
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JULIE ANN CLARKECredential: FNP-C
Location AddressPO BOX 2169Lexington, SC 29071-2169
Mailing Address619 Amberwood RdPickens, SC 29671-8717 · (864) 607-4766
Phone(803) 358-8496
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 5, 2018
Last NPPES UpdateAugust 14, 20255 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1912414384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · 25993✔ Licensed in AZ · 267045✔ Licensed in FL · 11015286✔ Licensed in WA · AP60825540✔ Licensed in OR · 201709775NP✔ Licensed in WA · 60825540
Also ListedFamily MedicineTaxonomy 207Q00000X · License 201709775NP (OR)
PO BOX 2169, Lexington, SC 29071
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15856 Birch DrFerndale, WA 98248-9248 · Phone (503) 999-2634
Location 21333 Taylor StColumbia, SC 29201-2923 · Phone (803) 296-5914 · Fax (803) 296-5902

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Ms. Julie Ann Clarke Fnp-c 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 ID9537418926
PECOS Enrollment IDI20220708001495
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 Reassignments

3

Medicare enrollment records show Julie Clarke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gateway Medical LLC
5.1 mi
Family Medicine
171B MONROE LN
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1649647884 (803) 358-8496
Prisma Health University Medical Group
14 mi
Anesthesiology
1330 TAYLOR ST
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1982292843 (864) 522-8615
Ph Healthcare Services, Inc.
95 mi
In Home Supportive Care
4741 HIGHWAY 153 STE B
Easley, SC 29642
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Ph Health Care Services Inc
  • 21 clinicians in this Medicare group
NPI 1427475292 (864) 991-8414

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 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
246 services78 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
139 services40 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
101 services50 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
86 services60 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
22 services19 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29071 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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 Julie Clarke's NPI number?

The NPI number for Julie Clarke is 1912414384. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Julie Clarke located?

Julie Clarke practices at PO Box 2169, Lexington, SC 29071. The listed phone number is (803) 358-8496.

What is Julie Clarke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Julie Clarke enrolled in Medicare?

Yes. Julie Clarke 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 organizations bill Medicare for Julie Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Clarke reassigns Medicare benefits to 3 organizations: Gateway Medical LLC (Lexington, SC), Prisma Health University Medical Group (Columbia, SC) and Ph Healthcare Services, Inc. (Easley, SC). Each 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 Julie Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Clarke accept?

Health plans from First Choice Next, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Julie Clarke 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.

Is Julie Clarke affiliated with any hospitals?

According to CMS data, Julie Clarke is affiliated with Prisma Health Oconee Memorial Hospital and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Julie Clarke was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.