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Active NPI 1679367288 Individual Practitioner Male Practitioner

Nicholas Mckinley Clark , PA-C

Physician Assistant • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Clark, PA-C is a certified Physician Assistant practicing in Phoenix, AZ. With approximately 2 years of clinical experience since completing medical education in 2024, Nicholas Clark delivers high-quality medical care to the local community at 3522 N 3RD AVE.

Nicholas Clark is affiliated with Circle The City and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3522 N 3rd Ave

Phoenix, AZ 850133903

Telephone 6027767676
Fax 6027050567
Associated Practice Facility / Clinic
🏢 Circle The City Facility NPI 1487033247

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% 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 (2 Years) 2 Yrs
Phoenix Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 11035

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Circle The City

3522 N 3rd Ave, Phoenix, AZ 850133903

Phone: 6027769000

Circle The City

220 S 12th Ave, Phoenix, AZ 850073101

Phone: 6022588282

Circle The City

210 S 12th Ave, Phoenix, AZ 850073101

Phone: 6022544282

Practice Associates & Co-Workers

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

8 Associated Practitioners
Larissa Flores

Clinical Nurse Specialist - Family Health

NPI 1053844811
Dr. Kimberly Le , MD

Family Medicine

NPI 1063776284

Doctor of Medicine (M.D.)

Heidi Howell

Social Worker - Clinical

NPI 1336564178
Margaret Thayer , PA-C

Physician Assistant

NPI 1376944249

Physician Assistant (Certified)

Justine Sperber , MSW, LCSW

Counselor - Mental Health

NPI 1396182283

Master of Social Work, Licensed Clinical Social Worker

Dr. Lori Holleran , PhD

Psychologist - Clinical

NPI 1669018933

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 24, 2026

Registered at 3522 N 3RD AVE, PHOENIX, AZ 850133903 (Tel: 6027767676)

📍
Updated Business Mailing Address April 24, 2026

Registered at 3522 N 3RD AVE, PHOENIX, AZ 850133903 (Tel: 6027767676)

NPI Profile Active April 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2025

Registered at 2336 BOXWOOD LN, KNOXVILLE, TN 379174020 (Tel: 6238064578)

📍
Updated Business Mailing Address April 08, 2025

Registered at 2336 BOXWOOD LN, KNOXVILLE, TN 379174020 (Tel: 6238064578)

👤
Provider Name / Credentials Updated April 08, 2025

Recorded as NICHOLAS CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2025

Physician Assistant (License #11035 in AZ)

🟢
Initial NPI Registration & Enumeration April 08, 2025

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: 1679367288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2025
Last Update: April 24, 2026
Sole Proprietor: No

Mailing Address

3522 N 3rd Ave

Phoenix, AZ 850133903

Phone: 6027767676

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.