Mrs Elise Diane Clark, FNP BC - Medicare Nurse Practitioner in Lima, OH

Mrs Elise Diane Clark, FNP BC is a medicare enrolled "Nurse Practitioner" in Lima, Ohio. She went to University Of Toledo College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Physicians Of Lima Inc and her current practice location is 2875 W Elm St, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 991-7805.

Mrs Elise Diane Clark is licensed to practice in Ohio (license number NP06689) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184619595.

Contact Information

Mrs Elise Diane Clark, FNP BC
2875 W Elm St,
Lima, OH 45805-2510
(419) 991-7805
(419) 991-7862

Map and Direction




Provider's Profile

Full NameMrs Elise Diane Clark
GenderFemale
SpecialityNurse Practitioner
Experience23 Years
Location2875 W Elm St, Lima, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Elise Diane Clark attended and graduated from University Of Toledo College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1184619595
  • Provider Enumeration Date: 09/13/2005
  • Last Update Date: 03/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345274478
  • Enrollment ID: I20050919000889

Medical Identifiers

Medical identifiers for Mrs Elise Diane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184619595NPI-NPPES
9934001OtherOHMEDICARE PTAN
2360252MedicaidOH
500023896OtherOHTRAVELERS/RAILROAD MEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP06689 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health-st Rita's Medical CenterLima, OHHospital
Lima Memorial Health SystemLima, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Physicians Of Lima Inc77199614813

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Elise Diane Clark allows following entities to bill medicare on her behalf.
Entity NameFamily Physicians Of Lima Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134112469
PECOS PAC ID: 7719961481
Enrollment ID: O20040618000092

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elise Diane Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Elise Diane Clark, FNP BC
2875 W Elm St,
Lima, OH 45805-2510

Ph: (419) 991-7805
Mrs Elise Diane Clark, FNP BC
2875 W Elm St,
Lima, OH 45805-2510

Ph: (419) 991-7805

Reviews and Comments


Nurse Practitioner Nurses in Lima, OH

Stacy Jo Klass, CNP
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Phone: 419-227-5298    Fax: 419-227-5879
Jocelyn Leigh Sherman, CPNP
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Practice Location: 1005 Bellefontaine Ave Ste 245, Lima, OH 45804
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Phone: 419-222-6622    Fax: 419-224-0015
Holly A Archer, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 2195 Allentown Rd, Lima, OH 45805
Phone: 419-227-2245    Fax: 419-229-1573
Cassandra Baumgartner, NP
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Medicare: Medicare Enrolled
Practice Location: 441 E 8th St, Lima, OH 45804
Phone: 419-221-3072    
Jessica A Dailey, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 512 N Cable Rd, Lima, OH 45805
Phone: 419-228-2600    Fax: 419-228-1100
Mrs. Ruth Ann Grothouse, C-NP
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Medicare: Medicare Enrolled
Practice Location: 750 W High St, Suite 300, Lima, OH 45801
Phone: 419-229-6781    Fax: 419-229-3490

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.