SHANIQUA S CLARK
NPI 1932514197
Nurse Practitioner - Family in Nashville, TN

Q: What is Shaniqua Clark's NPI number?

The NPI number for Shaniqua Clark is 1932514197. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Q: What is Shaniqua Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaniqua Clark was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 26, 2014PECOS EnrolledAccepts Medicare Assignment

1035 14TH AVE N, NASHVILLE, TN 37208(615) 327-9400 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shaniqua S Clark NPPES

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

SHANIQUA S CLARK (NPI 1932514197) is an individual family provider in Nashville, Tennessee, licensed in Tennessee (APN0000017300) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1932514197

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANIQUA S CLARK

Location Address1035 14TH AVE NNashville, TN 37208-3050

Mailing Address1035 14th Ave NNashville, TN 37208-3050 · (615) 327-9400

Phone(615) 327-9400

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 26, 2014

✔ NPI 1932514197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · APN0000017300

1035 14TH AVE N, Nashville, TN 37208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaniqua S Clark 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 ID8527289628

PECOS Enrollment IDI20141014001163

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 Reassignment

Medicare enrollment records show Shaniqua Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Matthew Walker Comprehensive Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

1035 14TH AVE N
Nashville, TN 37208

Reassigned Medicare billing, Tennessee enrollment
27 clinicians in this Medicare group

NPI 1356405278 (615) 327-9400

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 37208 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

DR. LORAY DANIELLE SPENCER D.D.S.

Dentist (General Practice)