DR. AUTUMN CLARK DO
NPI 1912911090
Psychiatry & Neurology - Psychiatry in Springfield, MO

Q: What is Autumn Clark's NPI number?

The NPI number for Autumn Clark is 1912911090. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Autumn Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Clark was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

1965 S FREMONT AVE, SUITE 330, SPRINGFIELD, MO 65804(417) 820-8180(417) 820-8183 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Autumn Clark Do NPPES

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

DR. AUTUMN CLARK DO (NPI 1912911090) is an individual psychiatry provider in Springfield, Missouri, licensed in Missouri (2010017178) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2002).

NPPES Registry Identity

NPI1912911090

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. AUTUMN CLARKCredential: DO

Location Address1965 S FREMONT AVE, SUITE 330Springfield, MO 65804-2201

Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620

Phone(417) 820-8180

Fax(417) 820-8183

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2002

Enumeration DateJuly 27, 2006

Last NPPES UpdateMay 2, 2013

✔ NPI 1912911090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MO · 2010017178✔ Licensed in VA · 0102201521

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1965 S FREMONT AVE, Springfield, MO 65804

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Other Identifiers 5

Medicare PIN132680157MO

OtherP00852000MO · Railroad Medicare #

Medicaid1912911090MO

Medicaid183130003AR

Medicare PIN132300140MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Autumn Clark Do 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 ID6103950415

PECOS Enrollment IDI20100820001116

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 65804 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

$161.24 typical visit price

range $52.28 – $161.24

Typical copayment $40.31 (range $13.07 – $40.31)

Most-billed visit code 99205

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

JENNIFER ANN DALE RPH

Pharmacist

1965 S FREMONT AVE, SUITE 140
SPRINGFIELD, MO 65804

Greene County (417) 820-3577

DR. ROBERT M CAVAGNOL MD

Surgery

1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804

Greene County (417) 820-3800

MATTHEW C LUNDIEN MD

Pediatrics (Pediatric Pulmonology)

1965 S FREMONT AVE, STE 220
SPRINGFIELD, MO 65804

Greene County (417) 820-9055

MERCY CLINIC-SPRINGFIELD COMMUNITIES

Durable Medical Equipment & Medical Supplies

1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804

Greene County (417) 820-5150

DONNA MARIE IRISH APRN-BC, GNP

Nurse Practitioner (Gerontology)

1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804

Greene County (417) 820-2936

DR. MARK J. WALTERSKIRCHEN M.D.

Urology

1965 S FREMONT AVE, SUITE 370
SPRINGFIELD, MO 65804

Greene County (417) 820-0300

CHRISTOPHER A CHAFFIN PA

Physician Assistant

1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804

Greene County (417) 820-3800

DR. MARIA C. DELA ROSA MD

Internal Medicine (Geriatric Medicine)

1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804

Greene County (417) 820-3760

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 Autumn Clark's NPI number?

The NPI number for Autumn Clark is 1912911090. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Autumn Clark located?

Autumn Clark practices at 1965 S Fremont Ave Suite 330, Springfield, MO 65804. The listed phone number is (417) 820-8180.

What is Autumn Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Autumn Clark enrolled in Medicare?

Yes. Autumn 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 Autumn Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Autumn 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 Autumn Clark was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.