RENNA CLARK NURSE PRACTITIONER
NPI 1992428361
Nurse Practitioner - Women's Health in Stafford, VA
About Renna Clark Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENNA CLARK NURSE PRACTITIONER (NPI 1992428361) is an individual women's health provider in Stafford, Virginia, licensed in Virginia (0024184881) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains a secondary practice location in Dumfries.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Renna Clark Nurse Practitioner 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Washington Hospital
Acute Care Hospitals · Fredericksburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22554 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STAFFORD, VA 22554
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 Renna Clark's NPI number?
The NPI number for Renna Clark is 1992428361. It was assigned to this individual provider in the NPPES registry on September 21, 2022.
Where is Renna Clark located?
Renna Clark practices at 955 E Wonder Rd, Stafford, VA 22554. The listed phone number is (540) 741-7893.
What is Renna Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Renna Clark enrolled in Medicare?
Yes. Renna 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.
Is Renna Clark affiliated with any hospitals?
According to CMS data, Renna Clark is affiliated with Mary Washington Hospital.
When was this NPI record last updated?
The NPPES record for Renna Clark was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Renna Clark, NURSE PRACTITIONER · NPI 1992428361
Women's Health physician in Stafford, Virginia. Individual provider, active in the CMS NPPES registry since September 21, 2022.
## Identity
- **NPI:** 1992428361 (Entity type: Individual)
- **Enumerated:** September 21, 2022
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 0024184881 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 955 E WONDER RD, Stafford, VA 22554
- **Phone:** (540) 741-7893 · **Fax:** (540) 741-9778
## 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:** Kent State University College Of Podiatric Medicine, class of 2022
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992428361) · Data from the CMS NPPES public registry.