MS. JACQUELYN HELENA CLARK M.D. NPI 1205327293

NPI Information

  • NPI: 1205327293
  • Provider Name: MS. JACQUELYN HELENA CLARK, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1051 E MAIN ST STE 1
    WAYNESBORO, PA
    ZIP 17268
  • Phone: (717) 762-9118

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NPI Details

MS. Jacquelyn Helena Clark, M.D. is a family medicine in Waynesboro, PA with 8 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MS. Jacquelyn Helena Clark, M.D. NPI is 1205327293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1051 E MAIN ST STE 1
WAYNESBORO, PA
ZIP 17268-318
Phone: (717) 762-9118

The NPI 1205327293 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, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Blood test, clotting time (HCPCS:85610)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS:0241U)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Automated urinalysis test (HCPCS:81003)
  • Blood creatinine level (HCPCS:82565)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
  • Blood potassium level (HCPCS:84132)
  • Blood sodium level (HCPCS:84295)
  • Calcium level, total (HCPCS:82310)
  • Albumin (protein) level (HCPCS:82040)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Hemoglobin a1c level (HCPCS:83036)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Ldl cholesterol level (HCPCS:83721)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) (HCPCS:G0506)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 5/24/2018 and was last updated on 2/2/2023.

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
1207Q00000XFamily MedicineMD473102PENNSYLVANIAYes

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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