Nichole Deann Clark, FNP in Clinton, AR - Medicare Nurse Practitioner

Nichole Deann Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Arkansas. She went to Vanderbilt University School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hope Medical Clinic Inc and her current practice location is 145 Shakerag Road, Clinton, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 745-7161.

Nichole Deann Clark is licensed to practice in Arkansas (license number A01919) 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 1548464936.

Contact Information

	Nichole Deann Clark, FNP
	145 Shakerag Road, Clinton, AR 72031-6657
	(501) 745-7161
	(501) 745-8714

Map and Direction

Provider's Profile

Full Name	Nichole Deann Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	145 Shakerag Road, Clinton, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nichole Deann Clark attended and graduated from Vanderbilt University School Of Medicine in 2004

NPI Data:

NPI Number: 1548464936
Provider Enumeration Date: 06/12/2007
Last Update Date: 11/04/2011

Medicare PECOS Information:

PECOS PAC ID: 5597797506
Enrollment ID: I20100219000050

Medical Identifiers

Medical identifiers for Nichole Deann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548464936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A01919 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ozark Health	Clinton, AR	Hospital
Conway Regional Health System	Conway, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hope Medical Clinic Inc	9739223462	5

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. Nichole Deann Clark allows following entities to bill medicare on her behalf.

Entity Name	Hope Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013245471 PECOS PAC ID: 9739223462 Enrollment ID: O20100219000056

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. Nichole Deann 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 Address	Practice Location Address
Nichole Deann Clark, FNP Po Box 1333, Clinton, AR 72031 Ph: (501) 745-7161	Nichole Deann Clark, FNP 145 Shakerag Road, Clinton, AR 72031-6657 Ph: (501) 745-7161

Reviews and Comments

Nurse Practitioner Nurses in Clinton, AR

Katherine Elizabeth Dunham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Volunteer Pkwy, Clinton, AR 72031 Phone: 501-745-3388 Fax: 501-745-3006
Doris Virginia Sayner, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 Medical Center Parkway, Clinton, AR 72031 Phone: 501-745-7888 Fax: 501-745-4401
Lesia Nicole Clute, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 Shake Rag Rd, Clinton, AR 72031 Phone: 501-253-6208
Jennie Anderson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2526 Highway 65 S Ste 201, Clinton, AR 72031 Phone: 501-745-8007 Fax: 501-745-8220
Macy Annette Massey, CPNP-PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2526 Highway 65 S Ste 203, Clinton, AR 72031 Phone: 501-745-4914 Fax: 501-745-6374
Crystal Stripling, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 1341, Clinton, AR 72031 Phone: 501-918-0890 Fax: 866-535-4368
Allison Tiner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2526 Highway 65 S Ste 203, Clinton, AR 72031 Phone: 501-745-4914 Fax: 501-745-6374

Nichole Deann Clark, FNP - Medicare Nurse Practitioner in Clinton, AR