Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1588936447 Deactivated / Inactive NPI Female Practitioner

Wanda Clark

Case Manager/Care Coordinator • Valdez, AK

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wanda Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2012
NPI Deactivation Date September 04, 2024
Total Practice Duration ~12 Years of Practice (2012 – 2024)

Professional Overview & Biography Verified Profile Summary

Wanda Clark was a registered Case Manager/Care Coordinator practicing in Valdez, AK. Throughout an active medical career spanning 12 years, Wanda Clark provided care at the practice location at 1300 E HANAGITA until profile deactivation on 2024-09-04.

Practice Location & Contact Primary Location

Practice Address

1300 E Hanagita

Valdez, AK 996861635

Telephone 9078355032
Fax 9078352518
Associated Practice Facility / Clinic
🏢 Valdez Senior Citizen Center Facility NPI 1205097862

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Valdez, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Valdez, AK (1814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License AK 251B00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Joan Heikens , BSN

Case Management

NPI 1326286253

Bachelor of Science in Nursing

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
⚠️
NPI Profile Deactivated September 04, 2024

Record deactivated on September 04, 2024

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2024

Case Manager/Care Coordinator (License #251B00000X in AK)

NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2012

Registered at 1300 E HANAGITA, VALDEZ, AK 996861635 (Tel: 9078355032)

📍
Updated Business Mailing Address February 07, 2012

Registered at PO BOX 1635, VALDEZ, AK 996861635 (Tel: 9078355032)

👤
Provider Name / Credentials Updated February 07, 2012

Recorded as WANDA CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Case Manager/Care Coordinator (License #251B00000X in AK)

🟢
Initial NPI Registration & Enumeration February 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Wanda Clark. Be the first to share your experience!

Sign in to leave a review for Wanda Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1588936447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2012
Last Update: February 07, 2012
Deactivation Date: September 04, 2024

Mailing Address

Po Box 1635

Valdez, AK 996861635

Phone: 9078355032

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.