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Active NPI 1295457364 Individual Practitioner Female Practitioner

Andrea Clark , PNP- PC, AC

Nurse Practitioner - Pediatrics • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andrea Clark, PNP- PC, AC is a certified Nurse Practitioner - Pediatrics practicing in Phoenix, AZ. With approximately 5 years of clinical experience since completing medical education in 2021, Andrea Clark delivers high-quality medical care to the local community at 1919 E THOMAS RD.

Andrea Clark is affiliated with Phoenix Children'S Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1919 E Thomas Rd

Phoenix, AZ 850167710

Telephone 6029331900
Fax 6029331918
Associated Practice Facility / Clinic
🏢 Phoenix Children's Hospital Facility NPI 1760480503

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Phoenix, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
244 Specialists

Practicing in Phoenix, AZ (443 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

Clinical Seniority & Experience Comparison

Dr. Clark (5 Years) 5 Yrs
Phoenix Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-06-21
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AZ 264063

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
156185 (AZ)

Hospital & Practice Group Affiliations

Phoenix Children's Hospital

1919 E Thomas Rd, Phoenix, AZ 850167710

Phone: 6029330930

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003341223

Doctor of Medicine (M.D.)

Kyle Christian-Dold , CPNP

Nurse Practitioner - Pediatrics

NPI 1003436288

Certified Pediatric Nurse Practitioner

NPI 1023100930

Doctor of Medicine (M.D.)

Cherisse Mecham

Pediatrics - Pediatric Emergency Medicine

NPI 1043639792
Olivia Meier

Nurse Practitioner - Pediatrics

NPI 1043954985
Peter Mcgerty

Physician Assistant

NPI 1083086557

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address September 01, 2023

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 6029331813)

NPI Profile Active September 15, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2022

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6029331900)

📍
Updated Business Mailing Address September 15, 2022

Registered at 3563 E CULLUMBER CT, GILBERT, AZ 852344233 (Tel: 6024480446)

👤
Provider Name / Credentials Updated September 15, 2022

Recorded as ANDREA CLARK, PNP- PC/AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2022

Nurse Practitioner (License #264063 in AZ)

🟢
Initial NPI Registration & Enumeration September 15, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295457364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2022
Last Update: June 21, 2024
Sole Proprietor: No

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029331813

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.