Stephanie Nicole Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Goldsboro, NC

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Stephanie Nicole Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Goldsboro, North Carolina. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Memorial Hospital At Gulfport, Etas Pllc, Best Anesthesia Pllc and her current practice location is 2700 Wayne Memorial Dr, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 731-6068.

Stephanie Nicole Clark is licensed to practice in Mississippi (license number 901448) 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 1215486444.

Contact Information

Stephanie Nicole Clark, CRNA
2700 Wayne Memorial Dr,
Goldsboro, NC 27534-9494
(919) 731-6068
(919) 731-6025

Map and Direction




Provider's Profile

Full NameStephanie Nicole Clark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location2700 Wayne Memorial Dr, Goldsboro, North Carolina
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:
  • Stephanie Nicole Clark graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1215486444
  • Provider Enumeration Date: 09/29/2016
  • Last Update Date: 10/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3779862933
  • Enrollment ID: I20171024002602

Medical Identifiers

Medical identifiers for Stephanie Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215486444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 901448 (Mississippi)Primary
367500000XNurse Anesthetist, Certified Registered 111055 (Alabama)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital At Gulfport2466524012416
Etas Pllc812348193439
Best Anesthesia Pllc943652116813

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 Nicole Clark allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750300836
PECOS PAC ID: 4486637881
Enrollment ID: O20040608000711
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396
Entity NameNorthstar Anesthesia Of Mississippi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124415567
PECOS PAC ID: 1658682117
Enrollment ID: O20150624002329
Entity NameBest Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679286108
PECOS PAC ID: 9436521168
Enrollment ID: O20230207000883
Entity NameEtas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679259360
PECOS PAC ID: 8123481934
Enrollment ID: O20230828000521

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 Nicole 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 Nicole Clark, CRNA
105 Katherine Dr, Ste G,
Flowood, MS 39232-8857

Ph: (919) 731-6068		Stephanie Nicole Clark, CRNA
2700 Wayne Memorial Dr,
Goldsboro, NC 27534-9494

Ph: (919) 731-6068

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Goldsboro, NC

Mr. Richard Joseph Bazik, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2700 Wayne Memorial Drive, Goldsboro, NC 27534
Phone: 919-731-6068    Fax: 919-731-6025
Mrs. Paula Gryder Jarman, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2700 Wayne Memorial Drive, Goldsboro, NC 27534
Phone: 919-731-0668    Fax: 919-731-6025
Mr. Robert Gerald White Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Wayne Memorial Drive, Goldsboro, NC 27534
Phone: 919-731-6068    Fax: 919-731-6025
Mrs. Angela Britt Whitten, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534
Phone: 919-731-6065    
Ms. Jamie Harrell Richards, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Wayne Memorial Drive, Goldsboro, NC 27534
Phone: 919-731-6068    Fax: 919-731-6025
Dr. Anissa Sheree Breland, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Wayne Memorial Drive, Goldsboro, NC 27534
Phone: 919-736-1110    

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.