KATHRYN CLARK PA-C
NPI 1912610163
Physician Assistant in Saint Louis, MO
NPI Status: Active since January 03, 2023
Contact Information
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 373-5740
- Individual
- Female
- Years of Experience 3
- Physician Assistant
- May Accept Medicare Approved Payment
- PECOS Enrolled
About KATHRYN CLARK
This page provides the complete NPI Profile along with additional information for Kathryn Clark, a primary care provider established in Saint Louis, Missouri with a medical specialization in Physician Assistant and more than 3 years of experience. She graduated from Saint Louis University School Of Medicine in 2023. The healthcare provider is registered in the NPI registry with number 1912610163 assigned on January 2023. The practitioner's primary taxonomy code is 363A00000X with license number 2024007412 (MO). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1912610163
- Provider Name
- KATHRYN CLARK PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9556 MANCHESTER RD SAINT LOUIS, MO 63119
- Location Phone
- (314) 373-5740
- Mailing Address
- 4043 SEQUOIA DR EDWARDSVILLE, IL 62025
- Mailing Phone
- (636) 222-2282
- Medical School Name
- SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2023
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-03-2023
- Last Update Date
- 06-13-2025
- Code Navigator
A primary care provider (PCP) like Kathryn Clark sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2024007412
- License State
- MO
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 085.010325 (IL) |
Medicare Participation & PECOS Enrollment Status
Kathryn Clark is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Kathryn Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7315482999
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250306003410
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63119 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.32
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $21.58
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.5
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $17.37
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 1 | 2 | 6 | 1 | 0 | 1 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 12 | 1 | 0 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 1 + 2 + 1 + 0 + 1 + 1 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1912610163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
TROY EDWIN FUCHS PA
Physician Assistant
(Medical)
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
DR. TROY ADAM DINKEL M.D.
Emergency Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
JOSEPH F KARRE D.O
Emergency Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
LAWRENCE F MILLER M.D.
Emergency Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
MICHAEL JELINEK PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
SAMANTHA NICOLE LILLICO FNP-C
Nurse Practitioner
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
DANIEL UHLIG PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
KRISTINE D SCHNEIDER PA-C, CNMT
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
TAYLOR KRISTEN DELMAIN PHYSICIAN ASSISTANT
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
LAURA ELIZABETH RIESBERG PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
CARLEY JOHNAH DYKSTRA PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
TAYLOR NICOLE MELGAR PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
SHANNON ELYSE STEWART PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
KRISTEN EMILY POLITO PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
JEVON HUANG PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
AMANDA JEAN MERSMAN FNP-C
Nurse Practitioner
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
MR. LEE HUNTER YOUNG P.A.
Emergency Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
MR. STEVEN NATHAN SILVESTAIN PA-C
Physician Assistant
(Medical)
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
HANNA NICOLE TURNBULL PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
DR. CHARLES ALAN HURTH IV DO
Internal Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912610163, enumerated as an "individual" on January 03, 2023.
The provider is located at 9556 MANCHESTER RD SAINT LOUIS, MO 63119 and the phone number is (314) 373-5740.
Physician Assistant with taxonomy code 363A00000X.
