AMY R CLARK APRN, NP
NPI 1942942792
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
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
Specialties & Licenses
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
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.
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.
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.
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
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.
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 10 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.
# Amy R Clark, APRN, NP · NPI 1942942792
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1942942792 (Entity type: Individual)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95020628 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11878 AVENUE OF INDUSTRY, San Diego, CA 92128-3423
- **Phone:** (858) 487-3200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942942792) · Data from the CMS NPPES public registry.