Lori Clark, ACNP - Medicare Nurse Practitioner in Elyria, OH

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Lori Clark, ACNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Elyria, Ohio. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cape Coral Hospitalists Inc and her current practice location is 630 E River St, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 329-7500.

Lori Clark is licensed to practice in Ohio (license number APRN.CNP.026206) 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 1568094530.

Contact Information

Lori Clark, ACNP
630 E River St,
Elyria, OH 44035-5902
(440) 329-7500
Not Available

Map and Direction




Provider's Profile

Full NameLori Clark
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location630 E River St, Elyria, 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:
  • Lori Clark graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1568094530
  • Provider Enumeration Date: 02/07/2020
  • Last Update Date: 02/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769810969
  • Enrollment ID: I20221208003112

Medical Identifiers

Medical identifiers for Lori Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568094530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 026206 (Ohio)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine APRN.CNP.026206 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hca Florida Lehigh HospitalLehigh acres, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cape Coral Hospitalists Inc296150492327

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. Lori Clark allows following entities to bill medicare on her behalf.
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807
Entity NameNchmd Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831120195
PECOS PAC ID: 9436139565
Enrollment ID: O20040721000254
Entity NameCape Coral Hospitalists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336209790
PECOS PAC ID: 2961504923
Enrollment ID: O20070221000345
Entity NamePremier Critical Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669064192
PECOS PAC ID: 6709275027
Enrollment ID: O20211108001528

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. Lori 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
Lori Clark, ACNP
6347 Livia Ln,
Medina, OH 44256-7765

Ph: (440) 454-0708		Lori Clark, ACNP
630 E River St,
Elyria, OH 44035-5902

Ph: (440) 329-7500

Reviews and Comments


Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-323-8515    
Nicole Fatemeh Scavuzzo, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035
Phone: 440-406-8153    Fax: 440-406-8312
Mary Lauretta Gilchrist,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Ms. Amy M. King, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Amy M Kovalsky, RN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Mrs. Brenda J Life, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035
Phone: 440-326-4120    Fax: 440-322-3454
Aracelis Sedonia Bell, PMHNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 540 Griswold Rd, Elyria, OH 44035
Phone: 833-510-4357    Fax: 866-460-2997

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.