Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043721129 Individual Practitioner Female Practitioner

Jesse Kay Clark , PA

Physician Assistant • Arkadelphia, AR

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jesse Clark, PA is a registered healthcare professional specializing in Physician Assistant in Arkadelphia, AR. Official NPI practice address is registered at 3050 TWIN RIVERS DR.

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, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3050 Twin Rivers Dr

Arkadelphia, AR 719234218

Telephone 5018517402
Fax 5018514753
Associated Practice Facility / Clinic
🏢 Ronald Scott Exum M.d. P.a. Facility NPI 1578532792

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Arkadelphia, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Arkadelphia, AR (601 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
90 85 $1487.50 $135.81
99284 Emergency department visit with moderate level of medical decision making
72 71 $1024.29 $92.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
32 31 $71.06 $6.30

Medical Specialties & State Licenses

CMS Verified: 2023-01-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AR PA-1067

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License TX PA11698

Definition to come...

Secondary Practice Locations

800 5th Ave Ste 300

Fort Worth, TX 761047303

Phone: 8178785300

Practice Associates & Co-Workers

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

34 Associated Practitioners
Ryan Coleman

Internal Medicine

NPI 1013651652
Dr. James Smith , MD

Internal Medicine

NPI 1053377226

Doctor of Medicine (M.D.)

Dr. Ejaz Alam , MD

Internal Medicine

NPI 1053411942

Doctor of Medicine (M.D.)

Dr. Timothy Dietrich , DO

Internal Medicine

NPI 1053654608

Doctor of Osteopathic Medicine (D.O.)

Dr. Heath Mitchell , MD

Internal Medicine

NPI 1053872176

Doctor of Medicine (M.D.)

Dr. Shamna Mohammed , MD

Internal Medicine

NPI 1063935245

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 01, 2022

Registered at 3050 TWIN RIVERS DR, ARKADELPHIA, AR 719234218 (Tel: 5018517402)

📍
Updated Business Mailing Address April 01, 2022

Registered at 11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 722114393 (Tel: 5018127800)

📍
Updated Practice Location September 09, 2019

Registered at 800 5TH AVE STE 300, FORT WORTH, TX 761047303 (Tel: 8178785300)

📍
Updated Business Mailing Address September 09, 2019

Registered at 800 5TH AVE STE 300, FORT WORTH, TX 761047303 (Tel: 8178785300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2019

Physician Assistant (License #PA11698 in TX)

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2017

Registered at 800 5TH AVE STE 500, FORT WORTH, TX 761047304 (Tel: 8178785300)

📍
Updated Business Mailing Address October 17, 2017

Registered at 800 5TH AVE STE 500, FORT WORTH, TX 761047304 (Tel: 8178785300)

👤
Provider Name / Credentials Updated October 17, 2017

Recorded as JESSE CLARK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 17, 2017

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 Jesse Clark. Be the first to share your experience!

Sign in to leave a review for Jesse Clark

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

NPI Administrative Meta

NPI Number: 1043721129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2017
Last Update: January 31, 2023
Sole Proprietor: No

Mailing Address

11001 Executive Center Dr Ste 200

Little Rock, AR 722114393

Phone: 5018127800

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.