Stephanie Clark, NP - Medicare Nurse Practitioner in Poplar Bluff, MO

Stephanie Clark, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Poplar Bluff, Missouri. Her current practice location is 1500 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 686-4151.

Stephanie Clark is licensed to practice in Iowa (license number G170123) 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 1851795595.

Contact Information

Stephanie Clark, NP
1500 N Westwood Blvd,
Poplar Bluff, MO 63901-3318
(573) 686-4151
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Clark
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1500 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851795595
  • Provider Enumeration Date: 10/09/2014
  • Last Update Date: 12/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567828346
  • Enrollment ID: I20230522000246

Medical Identifiers

Medical identifiers for Stephanie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851795595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2011004525 (Missouri)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2022026857 (Missouri)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health G170123 (Iowa)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. Stephanie Clark allows following entities to bill medicare on her behalf.
Entity NameMcpherson Medical & Diagnostic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003407883
PECOS PAC ID: 5698773539
Enrollment ID: O20061201000167
Entity NameCape Girardeau Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700485281
PECOS PAC ID: 8022423649
Enrollment ID: O20210507002378

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. Stephanie 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
Stephanie Clark, NP
1500 N Westwood Blvd,
Poplar Bluff, MO 63901-3318

Ph: (573) 686-4151
Stephanie Clark, NP
1500 N Westwood Blvd,
Poplar Bluff, MO 63901-3318

Ph: (573) 686-4151

Reviews and Comments


Nurse Practitioner Nurses in Poplar Bluff, MO

Jamie Lynn Morse, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2588 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-778-1277    Fax: 573-778-1299
Alicia Marie Cisne, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Jessica Nicole Mccain, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-776-2835    Fax: 573-776-2763
Wanda R Shewmon, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2210 Barron Rd, Poplar Bluff, MO 63901
Phone: 573-686-4133    Fax: 573-686-1315
Ms. Jolene M Wolf, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-686-4151    
Rebecca Compton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Shelly Y Gresham, RNC-FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2480 Three Rivers Blvd, Poplar Bluff, MO 63901
Phone: 573-686-5564    Fax: 573-686-2838

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.