PATRICIA H CLARK NP NPI 1841252160

NPI Information

  • NPI: 1841252160
  • Provider Name: PATRICIA H CLARK, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10012 KENNERLY RD
    SUITE 202
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 692-2807

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NPI Details

Patricia H Clark, NP is an acute care nurse practitioner in Saint Louis, MO with 21 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.

  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Programming of dual lead implantable defibrillator system (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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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