BREANNA CLARK CRNP
NPI 1922680321
Nurse Practitioner in Hershey, PA

Q: What is Breanna Clark's NPI number?

The NPI number for Breanna Clark is 1922680321. It was assigned to this individual provider in the NPPES registry on April 25, 2021.

Q: What is Breanna Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Clark was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 25, 2021PECOS EnrolledAccepts Medicare Assignment

71.78/100

CMS Quality Rating

30 HOPE DR, HERSHEY, PA 17033(717) 531-8887(717) 531-4974 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Dec 6, 2023, May 24, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Breanna Clark Crnp NPPES

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

BREANNA CLARK CRNP (NPI 1922680321) is an individual nurse practitioner in Hershey, Pennsylvania, licensed in Pennsylvania (SP023123) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922680321

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBREANNA CLARKCredential: CRNP

Location Address30 HOPE DRHershey, PA 17033-2036

Mailing Address90 Hope Dr., P.o. Box 855Hershey, PA 17033-0855 · (717) 531-7180

Phone(717) 531-8887

Fax(717) 531-4974

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 25, 2021

Last NPPES UpdateSeptember 18, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1922680321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP023123

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP023123 (PA)

30 HOPE DR, Hershey, PA 17033

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Secondary Practice Locations 2

Location 1335 Lambs Gap RdMechanicsburg, PA 17050-2784 · Phone (717) 591-1425

Location 23100 Schoolhouse RdMiddletown, PA 17057-3548 · Phone (717) 948-5180

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

Breanna Clark Crnp 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 ID5799189676

PECOS Enrollment IDI20210816000029

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

76 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390004

Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County

Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390336

Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

48.32

Promoting Interoperability

100

Improvement Activities

Cost

57.63

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.

MR. JUSTIN TAYLOR LOWE

Physician Assistant

30 HOPE DR, SUITE 1300
HERSHEY, PA 17033

Dauphin County (717) 531-3828

DR. DAVID WILLIAM BARTON MD

Orthopaedic Surgery (Orthopaedic Trauma)

30 HOPE DR
HERSHEY, PA 17033

Dauphin County (717) 531-5638

EDWARD J FOX MD

Orthopaedic Surgery

30 HOPE DR, EC-089
HERSHEY, PA 17033

Dauphin County (800) 233-4082

BETHANY GRACE HAN CRNP

Nurse Practitioner

30 HOPE DR
HERSHEY, PA 17033

Dauphin County (717) 531-5638

TAMMY MARIE MILLER PA-C

Physician Assistant

30 HOPE DR, BUILDING B, SUITE 2400
HERSHEY, PA 17033

Dauphin County (717) 531-5638

MRS. TERESA ANN KALINAY PT

Physical Therapist

30 HOPE DR
HERSHEY, PA 17033

Dauphin County (800) 243-1455

ENYINNA L NWACHUKU M.D.

Neurological Surgery

30 HOPE DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

DR. YOHANCE MANDELA ALLETTE MD, PHD

Psychiatry & Neurology (Neurology)

30 HOPE DR
HERSHEY, PA 17033

Dauphin County (717) 531-3828

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 Breanna Clark's NPI number?

The NPI number for Breanna Clark is 1922680321. It was assigned to this individual provider in the NPPES registry on April 25, 2021.

Where is Breanna Clark located?

Breanna Clark practices at 30 Hope Dr, Hershey, PA 17033. The listed phone number is (717) 531-8887.

What is Breanna Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Breanna Clark enrolled in Medicare?

Yes. Breanna 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.

Is Breanna Clark affiliated with any hospitals?

According to CMS data, Breanna Clark is affiliated with Penn State Health Holy Spirit Medical Center, Milton S Hershey Medical Center and Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Breanna Clark was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.