Active NPI 1366433526 Individual Practitioner Female Practitioner

Wendy S Clark , FNP-BC

Nurse Practitioner • Fort Wayne, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Wendy Clark, FNP-BC is a certified Nurse Practitioner practicing in Fort Wayne, IN. With approximately 25 years of clinical experience since completing medical education in 2001, Wendy Clark delivers high-quality medical care to the local community at 1234 E. DUPONT RD..

Wendy Clark is affiliated with Parkview Health System Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1234 E. Dupont Rd.
Suite 6

Fort Wayne, IN 468251545

Telephone 2604802600

Fax 2604968077

Associated Practice Facility / Clinic

🏢 Northeast Medical Associates, Pc Facility NPI 1003807850

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +15.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate

23.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (25 Years) 25 Yrs

Fort Wayne Specialty Average (9.2 Years) 9.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	27	$196.00	$101.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	30	20	$46.00	$13.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	38	$190.67	$101.52
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$133.00	$69.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	80	$196.00	$103.13
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$135.00	$73.07
G0008 Administration of influenza virus vaccine	13	13	$29.00	$27.27
90682 Influenza vaccine, quadrivalent derived from recombinant dna	13	13	$98.83	$68.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	38	$175.00	$105.10
G0008 Administration of influenza virus vaccine	24	22	$29.00	$15.84
90682 Influenza vaccine, quadrivalent derived from recombinant dna	22	21	$98.83	$64.68
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$120.00	$73.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	25	$175.00	$88.79
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$120.00	$60.68
90682 Influenza vaccine, quadrivalent derived from recombinant dna	11	11	$98.83	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	54	$120.00	$59.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	30	$175.00	$87.91
G0008 Administration of influenza virus vaccine	21	21	$29.00	$15.55
90682 Influenza vaccine, quadrivalent derived from recombinant dna	18	18	$103.56	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	44	$105.66	$58.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	31	$154.17	$86.48
G0008 Administration of influenza virus vaccine	11	11	$25.73	$19.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	33	$150.00	$86.28
99213 Established patient office or other outpatient visit, typically 15 minutes	56	41	$103.00	$58.56
G0008 Administration of influenza virus vaccine	21	20	$25.00	$23.63
90662 Influenza vaccine split virus, preservative free	18	17	$39.00	$38.22

Medical Specialties & State Licenses

CMS Verified: 2022-10-15

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71001332A

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200365810 (IN)

Commercial Insurance / Payer ID Medicare Rr

500024448 (IN)

Hospital & Practice Group Affiliations

Parkview Health System Inc

1234 E Dupont Rd, Fort Wayne, IN 468251545

Phone: 2602662800

Practice Associates & Co-Workers

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

3 Associated Practitioners

Cathy Walker , FNP-BC

Nurse Practitioner - Family

NPI 1003826769

Family Nurse Practitioner (Board Certified)

Elizabeth Depew , MSN, FNP-BC

Nurse Practitioner

NPI 1245380070

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Laura Ingrum , NP-C

Nurse Practitioner

NPI 1295726859

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address August 12, 2021

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

📍

Updated Business Mailing Address October 01, 2018

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2018

Nurse Practitioner (License #71001332A in IN)

✅

NPI Profile Active March 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2011

Registered at 1234 E. DUPONT RD., SUITE 6, FORT WAYNE, IN 468251545 (Tel: 2604802600)

📍

Updated Business Mailing Address March 09, 2011

Registered at 1234 E. DUPONT RD., SUITE 6, FORT WAYNE, IN 468251545 (Tel: 2604802600)

👤

Provider Name / Credentials Updated March 09, 2011

Recorded as WENDY CLARK, FNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2011

Nurse Practitioner (License #71001332A in IN)

🟢

Initial NPI Registration & Enumeration November 04, 2005

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: 1366433526

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 04, 2005

Last Update: October 15, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

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.