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AMY R CLARK APRN, NP
NPI 1942942792
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment
11878 AVENUE OF INDUSTRY, SAN DIEGO, CA 92128(858) 487-3200 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Apr 12, 2022 (2 updates tracked since 2022).

About Amy R Clark Aprn, Np NPPES

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

AMY R CLARK APRN, NP (NPI 1942942792) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95020628) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942942792
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMY R CLARKCredential: APRN, NP
Location Address11878 AVENUE OF INDUSTRYSan Diego, CA 92128-3423
Mailing Address5055 N Harbor Dr Ste 320San Diego, CA 92106-2302 · (619) 335-2939 · Fax (619) 353-0423
Phone(858) 487-3200
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 12, 2022
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1942942792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95020628
11878 AVENUE OF INDUSTRY, San Diego, CA 92128
Open in Google Maps ↗

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

Amy R Clark Aprn, Np 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 ID6709372717
PECOS Enrollment IDI20251230000251
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

2

Medicare enrollment records show Amy Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Specialty Group L.P.
14 mi
Psychiatry
7850 VISTA HILL AVE
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Western Specialty Group LP
  • 13 clinicians in this Medicare group
NPI 1528770385 (858) 836-8434
Archway Behavioral Health Services Advanced Practice Nursing Corp
20 mi
Nursing Care
5055 N HARBOR DR STE 320
San Diego, CA 92106
  • Reassigned Medicare billing, California enrollment
NPI 1891661161 (619) 335-2939

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 92128 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

RYAN WANG MD A PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
San Diego County (858) 925-7346
MR. MICHAEL L. ROSS MBA, R.PH.
Pharmacist (Psychiatric)
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
San Diego County (858) 675-4259
RYAN M WILKE D.O.
Psychiatry & Neurology (Psychiatry)
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
San Diego County (760) 317-5797
JUDITH ARMENDARIZ
Nurse Practitioner (Psychiatric/Mental Health)
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
San Diego County (858) 675-4228
EMMANUEL MARIANO ROBERTS LMFT
Marriage & Family Therapist
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
San Diego County (858) 675-4230
ANDREW ALLEN MD CORPORATION
Psychiatry & Neurology (Psychiatry)
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
San Diego County (619) 940-4682
STEVEN P. JAMES, M.D., INC.
Psychiatry & Neurology (Psychiatry)
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
San Diego County (858) 354-0143
MARIA C BAUTISTA MD INC
Internal Medicine
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
San Diego County (858) 722-4779

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 Amy Clark's NPI number?

The NPI number for Amy Clark is 1942942792. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Amy Clark located?

Amy Clark practices at 11878 Avenue Of Industry, San Diego, CA 92128. The listed phone number is (858) 487-3200.

What is Amy Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amy Clark enrolled in Medicare?

Yes. Amy 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.

Which organizations bill Medicare for Amy Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Clark reassigns Medicare benefits to 2 organizations: Western Specialty Group L.P. (San Diego, CA) and Archway Behavioral Health Services Advanced Practice Nursing Corp (San Diego, CA). 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 Amy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Clark was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.