Nicole Clark-ward, FNP-BC - Medicare Nurse Practitioner in Gastonia, NC

Nicole Clark-ward, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Gastonia, North Carolina. Her current practice location is 201 W 2nd Ave Ste A, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 671-4047.

Nicole Clark-ward is licensed to practice in North Carolina (license number 5007450) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972993574.

Contact Information

Nicole Clark-ward, FNP-BC
201 W 2nd Ave Ste A,
Gastonia, NC 28052-4091
(704) 671-4047
Not Available

Map and Direction




Provider's Profile

Full NameNicole Clark-ward
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location201 W 2nd Ave Ste A, Gastonia, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972993574
  • Provider Enumeration Date: 02/03/2015
  • Last Update Date: 06/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8729339205
  • Enrollment ID: I20180921001907

Medical Identifiers

Medical identifiers for Nicole Clark-ward such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972993574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 5007450 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5007450 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5007450 (North Carolina)Secondary
363LP2300XNurse Practitioner - Primary Care 5007450 (North Carolina)Primary

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. Nicole Clark-ward allows following entities to bill medicare on her behalf.
Entity NameDrynachan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891044657
PECOS PAC ID: 2264718824
Enrollment ID: O20180308002239
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503

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. Nicole Clark-ward 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
Nicole Clark-ward, FNP-BC
4790 Turnridge Ct Nw,
Concord, NC 28027-3402

Ph: (704) 965-7772
Nicole Clark-ward, FNP-BC
201 W 2nd Ave Ste A,
Gastonia, NC 28052-4091

Ph: (704) 671-4047

Reviews and Comments


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Mrs. Shannon Bumgardner Standish, FNP-C
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Nora D. Paysour, FNP-C
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Phone: 704-718-4150    

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.