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PATRICIA H CLARK NP NPI 1841252160


NPI Information

NPI: 1841252160
Provider Name: PATRICIA H CLARK, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: MERCY CLINIC HEART AND VASCULAR LLC

PECOS Registration: Yes

Address:
10012 KENNERLY RD
SUITE 202
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 692-2807
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Patricia H Clark, NP is an acute care nurse practitioner in Saint Louis, MO with 20 years of experience. Patricia H Clark, NP NPI is 1841252160. 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:

10012 KENNERLY RD
SUITE 202
SAINT LOUIS, MO
ZIP 63128-197
Phone: (314) 692-2807
Fax: (314) 991-0727

The NPI 1841252160 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.

  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93283)

The enumeration date for this NPI number is 4/3/2006 and was last updated on 8/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care089085MISSOURIYes
2363LA2200XNurse PractitionerAdult Health089085MISSOURINo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q46901MEDICARE UPINMISSOURI
2MA3163019MEDICARE PINMISSOURI

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: 11/14/2023

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.