DR. KELSEY NICOLE CLARK DO
NPI 1962080390
Emergency Medicine in Hackettstown, NJ

Q: What is Kelsey Clark's NPI number?

The NPI number for Kelsey Clark is 1962080390. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Kelsey Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Clark was last updated on August 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 29, 2021PECOS EnrolledAccepts Medicare Assignment

651 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840(908) 852-5100 Get Directions Write a Review

NPPES record last updated: August 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2024, Mar 29, 2021 (2 updates tracked since 2021).

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About Dr. Kelsey Nicole Clark Do NPPES

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

DR. KELSEY NICOLE CLARK DO (NPI 1962080390) is an individual emergency medicine provider in Hackettstown, New Jersey, licensed in New Jersey (25MB12242400) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Newton Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1962080390

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. KELSEY NICOLE CLARKCredential: DO

Location Address651 WILLOW GROVE STHackettstown, NJ 07840-1799

Mailing Address3 Century DrParsippany, NJ 07054-4610

Phone(908) 852-5100

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateAugust 17, 20242 updates tracked since enumeration

NPPES CertifiedAugust 17, 2024

✔ NPI 1962080390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NJ · 25MB12242400

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

651 WILLOW GROVE ST, Hackettstown, NJ 07840

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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

Dr. Kelsey Nicole Clark Do 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 ID7517309826

PECOS Enrollment IDI20240531000442

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

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

Hackettstown Emergency Medical Associates LLC

Same address

Emergency Medicine

651 WILLOW GROVE ST
Hackettstown, NJ 07840

Reassigned Medicare billing, New Jersey enrollment
49 clinicians in this Medicare group

NPI 1558768473 (954) 939-5000

Newton Emergency Medical Associates LLC

14 mi

Emergency Medicine

175 HIGH ST, NEWTON HOSPITAL
Newton, NJ 07860

Reassigned Medicare billing, New Jersey enrollment
59 clinicians in this Medicare group

NPI 1306118344 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

159 services158 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

75 services72 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

20 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services18 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Newton Medical Center

Acute Care Hospitals · Newton, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310028

Location175 High StNewton, NJ 07860 · Sussex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07840 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

MS. CORINNE E REAMER RNFA

Registered Nurse (Registered Nurse First Assistant)