Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689765935 Individual Practitioner Female Practitioner

Alisa L. Clark , APN

Nurse Practitioner • Wilmington, DE

Professional Overview & Biography Verified Profile Summary

Alisa Clark, APN is a registered healthcare professional specializing in Nurse Practitioner in Wilmington, DE. Practice services are available at A.I. DUPONT HOSPITAL FOR CHILDREN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

A.i. Dupont Hospital For Children
1600 Rockland Road

Wilmington, DE 19803

Telephone 3026514000
Fax 3026514945
Associated Practice Facility / Clinic
🏢 The Nemours Foundation Facility NPI 1366594699

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wilmington, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 9.1 Yrs
Regional Practice Density
197 Specialists

Practicing in Wilmington, DE (552 Statewide)

Telehealth Adoption Rate
7.1% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License DE L10024969

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License DE L10024969

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License PA 030126

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License PA RN308838L

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0043338 (NJ)
Medicaid State Provider ID
4058356 (MD)
Medicaid State Provider ID
103045134 (PA)

Secondary Practice Locations

3855 W Chester Pike Ste 280

Newtown Square, PA 190732304

Phone: 6105574800

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Stephanie Butler , DPT

Physical Therapist

NPI 1003334087

Doctor of Physical Therapy

Dr. Alexandra Taylor , MD

Emergency Medicine - Pediatric Emergency Medicine

NPI 1003976101

Doctor of Medicine (M.D.)

Dr. Ellen Deutsch , MD

Otolaryngology - Pediatric Otolaryngology

NPI 1013008382

Doctor of Medicine (M.D.)

Dr. Frances Zappalla , DO

Pediatrics - Pediatric Cardiology

NPI 1013009844

Doctor of Osteopathic Medicine (D.O.)

NPI 1013110980

Doctor of Medicine (M.D.)

Janine Catanach , APN

Nurse Practitioner

NPI 1013163930

Advanced Practice Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 09, 2018

Registered at A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803 (Tel: 3026514000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2018

Nurse Practitioner (License #030126 in PA)

NPI Profile Active September 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2011

Registered at A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 198033607 (Tel: 3026514000)

📍
Updated Business Mailing Address September 09, 2011

Registered at PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 197320191 (Tel: 3026516212)

👤
Provider Name / Credentials Updated September 09, 2011

Recorded as ALISA CLARK, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2011

Nurse Practitioner (License #L10024969 in DE)

🟢
Initial NPI Registration & Enumeration September 28, 2006

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: 1689765935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: August 09, 2018
Sole Proprietor: No

Mailing Address

Po Box 191, Provider Enrollment Dept

Rockland, DE 197320191

Phone: 3026516212

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.