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KATHRYN CLARK PA-C
NPI 1912610163
Physician Assistant in Saint Louis, MO

Active since January 03, 2023PECOS EnrolledAccepts Medicare Assignment
9556 MANCHESTER RD, SAINT LOUIS, MO 63119(314) 373-5740 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 13, 2025, Jun 23, 2024, Jan 3, 2023 (3 updates tracked since 2023).

About Kathryn Clark Pa-c NPPES

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

KATHRYN CLARK PA-C (NPI 1912610163) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2024007412) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2023).

NPPES Registry Identity

NPI1912610163
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN CLARKCredential: PA-C
Location Address9556 MANCHESTER RDSaint Louis, MO 63119-1313
Mailing Address4043 Sequoia DrEdwardsville, IL 62025-7711 · (636) 222-2282
Phone(314) 373-5740
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2023
Enumeration DateJanuary 3, 2023
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1912610163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MO · 2024007412✔ Licensed in IL · 085.010325
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9556 MANCHESTER RD, Saint Louis, MO 63119
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Kathryn Clark Pa-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 ID7315482999
PECOS Enrollment IDI20250306003410
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 63119 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

KRISTEN EMILY POLITO PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740
TAYLOR KRISTEN DELMAIN PHYSICIAN ASSISTANT
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740
SHANNON ELYSE STEWART PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 961-2255
AARON W GUTHRIE MD
Family Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740
MR. STEVEN NATHAN SILVESTAIN PA-C
Physician Assistant (Medical)
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740
MR. CHRISTIAN MAX HOOGHEEM
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 961-2255
JOSEPH F KARRE D.O
Emergency Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 961-2255
MR. MARTIN J CLARKE PA
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740

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 Kathryn Clark's NPI number?

The NPI number for Kathryn Clark is 1912610163. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Kathryn Clark located?

Kathryn Clark practices at 9556 Manchester Rd, Saint Louis, MO 63119. The listed phone number is (314) 373-5740.

What is Kathryn Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathryn Clark enrolled in Medicare?

Yes. Kathryn 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.

What insurance does Kathryn Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Anthem Blue Cross and Blue Shield list Kathryn 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 Kathryn Clark was last updated on June 13, 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.