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Active NPI 1801493226 Individual Practitioner Male Practitioner

Justin Clark , PA-C

Physician Assistant • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Justin Clark, PA-C is a certified Physician Assistant practicing in Phoenix, AZ. With approximately 4 years of clinical experience since completing medical education in 2022, Justin Clark delivers high-quality medical care to the local community at 645 E MISSOURI AVE STE 300.

Justin Clark is affiliated with Emergency Medicine Physicians Of Craven County Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

645 E Missouri Ave Ste 300

Phoenix, AZ 850121351

Telephone 4805002545

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

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
4 Yrs -6.1 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
91.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (4 Years) 4 Yrs
Phoenix Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
107 107 $1759.51 $142.22
99284 Emergency department visit with moderate level of medical decision making
58 58 $1202.14 $98.21

Medical Specialties & State Licenses

CMS Verified: 2026-06-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 9159

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Arizona Regulatory Board Of Physician Assistants
9159 (AZ)

Hospital & Practice Group Affiliations

Emergency Medicine Physicians Of Craven County Pllc

2000 Neuse Blvd, New Bern, NC 285603449

Phone: 2526338119

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Beth Ranney , MD

Emergency Medicine

NPI 1003133745

Doctor of Medicine (M.D.)

NPI 1003886292

Doctor of Medicine (M.D.)

NPI 1013351832

Doctor of Medicine (M.D.)

Jordan Jensen , PA-C

Physician Assistant

NPI 1023362910

Physician Assistant (Certified)

NPI 1023451820

Doctor of Medicine (M.D.)

Jeanmarie Altieri , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033214408

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address June 25, 2026

Registered at 330 E ROOSEVELT ST APT 3025, PHOENIX, AZ 850044306 (Tel: 2603127090)

📍
Updated Practice Location June 13, 2022

Registered at 645 E MISSOURI AVE STE 300, PHOENIX, AZ 850121351 (Tel: 4805002545)

📍
Updated Business Mailing Address June 13, 2022

Registered at 320 E PORTLAND ST APT 405, PHOENIX, AZ 850041882 (Tel: 2603127090)

👤
Provider Name / Credentials Updated June 13, 2022

Recorded as JUSTIN CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Physician Assistant (License #9159 in AZ)

NPI Profile Active October 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2020

Registered at 7337 WYTHE DR, NOBLESVILLE, IN 460627785 (Tel: 2603127090)

📍
Updated Business Mailing Address October 08, 2020

Registered at 7337 WYTHE DR, NOBLESVILLE, IN 460627785 (Tel: 2603127090)

👤
Provider Name / Credentials Updated October 08, 2020

Recorded as JUSTIN CLARK, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 08, 2020

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: 1801493226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2020
Last Update: June 25, 2026
Sole Proprietor: No

Mailing Address

330 E Roosevelt St Apt 3025

Phoenix, AZ 850044306

Phone: 2603127090

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.