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HEATHER CLARK PA-C
NPI 1972900520
Physician Assistant in Damascus, MD

Active since November 25, 2014PECOS Enrolled
9815 MAIN ST STE 208, DAMASCUS, MD 20872(301) 253-4004(301) 253-3391 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2019, Nov 9, 2017, Nov 7, 2016 (3 updates tracked since 2016).

About Heather Clark Pa-c NPPES

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

HEATHER CLARK PA-C (NPI 1972900520) is an individual physician assistant in Damascus, Maryland, licensed in Maryland (C0005635) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972900520
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER CLARKCredential: PA-C
Location Address9815 MAIN ST STE 208Damascus, MD 20872
Mailing Address9815 Main St Ste 208Damascus, MD 20872-2099 · (301) 253-4004 · Fax (301) 253-3391
Phone(301) 253-4004
Fax(301) 253-3391
Sole ProprietorNo
Enumeration DateNovember 25, 2014
Last NPPES UpdateJuly 11, 20193 updates tracked since enumeration
✔ NPI 1972900520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0005635
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License C0005635 (MD)
9815 MAIN ST STE 208, Damascus, MD 20872
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Other Names 1

Former Name (1)Heather Stultz Pa-c

Secondary Practice Locations 2

Location 1504 E Ridgeville BlvdMount Airy, MD 21771 · Phone (301) 703-5452
Location 21415 Mountain RoadJoppa, MD 21085 · Phone (410) 918-0777 · Fax (410) 369-1701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Clark Pa-c 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 20872 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTHER AMOAH DNP
Nurse Practitioner (Family)
9815 MAIN ST STE 208
DAMASCUS, MD 20872
Montgomery County (012) 534-0043

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 Heather Clark's NPI number?

The NPI number for Heather Clark is 1972900520. It was assigned to this individual provider in the NPPES registry on November 25, 2014. The provider is also known as Heather Stultz Pa-C.

Where is Heather Clark located?

Heather Clark practices at 9815 Main St Ste 208, Damascus, MD 20872. The listed phone number is (301) 253-4004.

What is Heather Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Clark was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.