ELISE N. CLARK FNP
NPI 1962885145
Nurse Practitioner - Family in Dallas, TX

Q: What is Elise Clark's NPI number?

The NPI number for Elise Clark is 1962885145. It was assigned to this individual provider in the NPPES registry on July 7, 2015. The provider is also known as Elise N. Lewis.

Q: What is Elise 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 Elise Clark was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since July 07, 2015PECOS Enrolled

5473 BLAIR RD STE 100, DALLAS, TX 75231(972) 850-0687 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2021, Dec 4, 2017, Apr 19, 2017 and 2 more (5 updates tracked since 2016).

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About Elise N. Clark Fnp NPPES

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

ELISE N. CLARK FNP (NPI 1962885145) is an individual family provider in Dallas, Texas, licensed in Texas (AP128458) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962885145

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELISE N. CLARKCredential: FNP

Location Address5473 BLAIR RD STE 100Dallas, TX 75231-4227

Mailing Address5473 Blair Rd Ste 100Dallas, TX 75231-4227 · (972) 850-0687

Phone(972) 850-0687

Sole ProprietorNo

Enumeration DateJuly 7, 2015

Last NPPES UpdateOctober 21, 20245 updates tracked since enumeration

NPPES CertifiedOctober 21, 2024

✔ NPI 1962885145 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 TX · AP128458

5473 BLAIR RD STE 100, Dallas, TX 75231

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Other Names 1

Former Name (1)Elise N. Lewis

Other Identifiers 1

Medicaid3502510-02TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise N. Clark Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

SHERREESE D'VONNE NED LCSW

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