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TIA A CLARK APRN, FNP-C
NPI 1912769290
Nurse Practitioner - Family in Murray, KY

Active since January 23, 2024PECOS Enrolled
1313 JOHNSON BLVD, MURRAY, KY 42071(270) 917-1401 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tia A Clark Aprn, Fnp-c NPPES

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

TIA A CLARK APRN, FNP-C (NPI 1912769290) is an individual family provider in Murray, Kentucky, licensed in Kentucky (4014647) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912769290
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIA A CLARKCredential: APRN, FNP-C
Location Address1313 JOHNSON BLVDMurray, KY 42071-2925
Mailing Address1313 Johnson BlvdMurray, KY 42071-2925 · (270) 917-1401
Phone(270) 917-1401
Sole ProprietorYes
Enumeration DateJanuary 23, 2024
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1912769290 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
License✔ Licensed in KY · 4014647
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4014647 (KY)
1313 JOHNSON BLVD, Murray, KY 42071
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tia A Clark Aprn, Fnp-c 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.

Medicare Billing Reassignments

3

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

Aligned Health, PLLC
Same address
Family
1313 JOHNSON BLVD
Murray, KY 42071
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
NPI 1194479774 (270) 917-1401
Pinelake Physician Practice LLC
19 mi
Rural Health
1206 PARIS RD STE B
Mayfield, KY 42066
  • Reassigned Medicare billing, Kentucky enrollment
  • 71 clinicians in this Medicare group
NPI 1093609612 (270) 804-7160
Signify Health, LLC
547 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42071 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD L WUEST
Chiropractor
1313 JOHNSON BLVD
MURRAY, KY 42071
Calloway County (270) 759-1945
ALIGNED HEALTH, PLLC
Nurse Practitioner (Family)
1313 JOHNSON BLVD
MURRAY, KY 42071
Calloway County (270) 917-1401
ERICA A BAZZELL APRN
Nurse Practitioner
1313 JOHNSON BLVD
MURRAY, KY 42071
Calloway County (270) 917-1401
JON MATTHEW WUEST DC
Chiropractor
1313 JOHNSON BLVD
MURRAY, KY 42071
Calloway County (270) 759-1945
FAMILY CHIROPRACTIC CENTER OF MURRAY,PLLC
Chiropractor
1313 JOHNSON BLVD
MURRAY, KY 42071
Calloway County (270) 759-1945

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 Tia Clark's NPI number?

The NPI number for Tia Clark is 1912769290. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Tia Clark located?

Tia Clark practices at 1313 Johnson Blvd, Murray, KY 42071. The listed phone number is (270) 917-1401.

What is Tia Clark's specialty?

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

Is Tia Clark enrolled in Medicare?

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

Which organizations bill Medicare for Tia Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tia Clark reassigns Medicare benefits to 3 organizations: Aligned Health, PLLC (Murray, KY), Pinelake Physician Practice LLC (Mayfield, KY) and Signify Health, LLC (Dallas, TX). 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 Tia Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tia Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and CareSource (Common Ground Healthcare) list Tia 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 Tia Clark was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.