JENNIFER CLARK P. A. NPI 1114479052

NPI Information

  • NPI: 1114479052
  • Provider Name: JENNIFER CLARK, P. A.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 W OGDEN AVE
    HINSDALE, IL
    ZIP 60521
  • Phone: (630) 323-6116

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NPI Details

Jennifer Clark, P. A. is a surgical physician assistant in Hinsdale, IL with 10 years of experience. Jennifer Clark, P. A. NPI is 1114479052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

550 W OGDEN AVE
HINSDALE, IL
ZIP 60521-186
Phone: (630) 323-6116
Fax: (630) 794-8620

The NPI 1114479052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Telephone medical discussion provided by nonphysician professional, 11-20 minutes (HCPCS:98967)
  • Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Partial removal of small and large bowel with attachment of small and large bowel using an endoscope (HCPCS:44205)
  • Repair of hernia of muscle at esophagus and stomach using an endoscope (HCPCS:43281)
  • Repair of abdomen using abdominal lining graft (HCPCS:49905)

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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