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MELISSA SUE CLARK ARNP NPI 1639681000


NPI Information

NPI: 1639681000
Provider Name: MELISSA SUE CLARK, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2222 EAST ST STE 305
CONCORD, CA
ZIP 94520
Phone: (925) 686-1230
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Melissa Sue Clark, ARNP is a gerontology nurse practitioner in Concord, CA with 7 years of experience. Melissa Sue Clark, ARNP NPI is 1639681000. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2222 EAST ST STE 305
CONCORD, CA
ZIP 94520-066
Phone: (925) 686-1230

The NPI 1639681000 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.

  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)

The enumeration date for this NPI number is 10/25/2017 and was last updated on 12/19/2018.


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
1363LG0600XNurse PractitionerGerontology95007947CALIFORNIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.