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NICOLE MARIE CLARK
NPI 1942095690
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 14, 2025PECOS Enrolled
2231 N HIGH ST STE 205, COLUMBUS, OH 43201(614) 293-2700 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Marie Clark NPPES

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

NICOLE MARIE CLARK (NPI 1942095690) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942095690
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE MARIE CLARK
Location Address2231 N HIGH ST STE 205Columbus, OH 43201-1101
Mailing Address1349 Bluff Ave Apt AColumbus, OH 43212-3932 · (419) 575-9226
Phone(614) 293-2700
Sole ProprietorNo
Enumeration DateApril 14, 2025
NPPES CertifiedApril 13, 2025
✔ NPI 1942095690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2231 N HIGH ST STE 205, Columbus, OH 43201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Clark 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.

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. ELIZABETH ROSE BERAN DO
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
KAYLEY IRWIN MD
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
EVAN SUPPA MD
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
ZACHARY BARBER
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
JESSICA CRISLIP
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
DYLAN BEAVER
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
AMY POWELL MD
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
ANGELA NICOLE RUBINO
Family Medicine
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700

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 Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1942095690. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Nicole Clark located?

Nicole Clark practices at 2231 N High St Ste 205, Columbus, OH 43201. The listed phone number is (614) 293-2700.

What is Nicole Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.