JENNIFER M CLARK CRNP NPI 1407186554

NPI Information

  • NPI: 1407186554
  • Provider Name: JENNIFER M CLARK, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 W KING ST
    SUITE C
    LITTLESTOWN, PA
    ZIP 17340
  • Phone: (717) 339-2390

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NPI Details

Jennifer M Clark, CRNP is a family nurse practitioner in Littlestown, PA with 17 years of experience. Jennifer M Clark, CRNP NPI is 1407186554. 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:

300 W KING ST
SUITE C
LITTLESTOWN, PA
ZIP 17340-446
Phone: (717) 339-2390
Fax: (717) 359-4178

The NPI 1407186554 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)
  • 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)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Urinalysis, manual test (HCPCS:81002)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)

The enumeration date for this NPI number is 1/12/2010 and was last updated on 6/10/2016.

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
1363LF0000XNurse PractitionerFamilySP010597PENNSYLVANIAYes

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
1960064OTHERMARYLANDCAREFIRST MD BCBS
2174435FLTMEDICARE PINPENNSYLVANIA
3P00823683MEDICARE PINPENNSYLVANIA
41587216OTHERPENNSYLVANIAGATEWAY-WMG
52499067OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

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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