Kathryn Jane Clarke, - Medicare Nurse Practitioner in New Haven, CT

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Kathryn Jane Clarke, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New Haven, Connecticut. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fair Haven Community Health Clinic Inc and her current practice location is 374 Grand Ave, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (206) 512-6556.

Kathryn Jane Clarke is licensed to practice in Virginia (license number 0024175369) 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 1831642438.

Contact Information

Kathryn Jane Clarke,
374 Grand Ave,
New Haven, CT 06513-3733
(206) 512-6556
Not Available

Map and Direction




Provider's Profile

Full NameKathryn Jane Clarke
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location374 Grand Ave, New Haven, Connecticut
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:
  • Kathryn Jane Clarke graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1831642438
  • Provider Enumeration Date: 07/31/2016
  • Last Update Date: 08/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3678855426
  • Enrollment ID: I20250306003176

Medical Identifiers

Medical identifiers for Kathryn Jane Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831642438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001275652 (Virginia)Secondary
163W00000XRegistered Nurse RN 60141168 (Washington)Secondary
163W00000XRegistered Nurse 227652 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 14226 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024175369 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fair Haven Community Health Clinic Inc418351153841

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. Kathryn Jane Clarke allows following entities to bill medicare on her behalf.
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Kathryn Jane Clarke 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
Kathryn Jane Clarke,
5270 Budapest Pl,
Dulles, VA 20189-5269

Ph: (206) 512-6556		Kathryn Jane Clarke,
374 Grand Ave,
New Haven, CT 06513-3733

Ph: (206) 512-6556

Reviews and Comments


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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.