Ms Mary Angelyn Joves Clark, MSN, APRN - Medicare Nurse Practitioner in Walnut Creek, CA

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Ms Mary Angelyn Joves Clark, MSN, APRN is a medicare enrolled "Nurse Practitioner" in Walnut Creek, California. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice John Muir Physician Network and her current practice location is 177 La Casa Via Ste 390, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 692-5610.

Ms Mary Angelyn Joves Clark is licensed to practice in California (license number NP95009579) 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 1053887455.

Contact Information

Ms Mary Angelyn Joves Clark, MSN, APRN
177 La Casa Via Ste 390,
Walnut Creek, CA 94598-6101
(925) 692-5610
Not Available

Map and Direction




Provider's Profile

Full NameMs Mary Angelyn Joves Clark
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location177 La Casa Via Ste 390, Walnut Creek, California
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:
  • Ms Mary Angelyn Joves Clark graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1053887455
  • Provider Enumeration Date: 10/23/2018
  • Last Update Date: 10/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1052644382
  • Enrollment ID: I20190531000835

Medical Identifiers

Medical identifiers for Ms Mary Angelyn Joves Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053887455NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health NP95009579 (California)Secondary
363L00000XNurse Practitioner NP95009579 (California)Primary
163W00000XRegistered Nurse 95068012 (California)Secondary
363LF0000XNurse Practitioner - Family NP95009579 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John Muir Medical Center - Concord CampusConcord, CAHospital
John Muir Medical Center - Walnut Creek CampusWalnut creek, CAHospital
Sutter Solano Medical CenterVallejo, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
John Muir Physician Network6608789813466

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. Ms Mary Angelyn Joves Clark allows following entities to bill medicare on her behalf.
Entity NameJohn Muir Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841407665
PECOS PAC ID: 6608789813
Enrollment ID: O20031226000143
Entity NameCounty Of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742
Entity NameEpic Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780107797
PECOS PAC ID: 5890053094
Enrollment ID: O20171215002809
Entity NameAlbion Medical Partners Of California West, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073110607
PECOS PAC ID: 8921419813
Enrollment ID: O20201125000882

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. Ms Mary Angelyn Joves 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
Ms Mary Angelyn Joves Clark, MSN, APRN
1450 Treat Blvd Ste 300,
Walnut Creek, CA 94597-2168

Ph: (925) 952-2828		Ms Mary Angelyn Joves Clark, MSN, APRN
177 La Casa Via Ste 390,
Walnut Creek, CA 94598-6101

Ph: (925) 692-5610

Reviews and Comments


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Ji Yeong Gendron Song,
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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.