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Active NPI 1427413590 Individual Practitioner Female Practitioner

Stephanie Clark , PA-C

Physician Assistant • Bloomington, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephanie Clark, PA-C is a certified Physician Assistant practicing in Bloomington, MN. With approximately 11 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 2015, Stephanie Clark delivers high-quality medical care to the local community at 7920 OLD CEDAR AVE S.

Stephanie Clark maintains professional affiliations with Allina Health System, Pinnacle Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7920 Old Cedar Ave S

Bloomington, MN 554251207

Telephone 9524281800
Fax 9524281723
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1013213891

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +1.1 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
128 Specialists

Practicing in Bloomington, MN (4026 Statewide)

Telehealth Adoption Rate
24.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (11 Years) 11 Yrs
Bloomington Specialty Average (9.9 Years) 9.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes
51 40 $268.35 $74.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
29 29 $325.49 $91.39
17110 Destruction of up to 14 skin growths
29 25 $342.35 $92.98
17000 Destruction of skin growth
23 20 $202.66 $38.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 17 $377.74 $105.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
22 18 $166.92 $46.97
11102 Tangential biopsy of single skin lesion
19 18 $301.88 $68.95

Medical Specialties & State Licenses

CMS Verified: 2025-12-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 14465

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

NUCC Taxonomy Code: 363A00000X

State License CA 52997

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

Allina Health System

1285 Nininger Rd, Hastings, MN 550331086

Phone: 6514804200

Pinnacle Dermatology Sc

625 E Nicollet Blvd, Burnsville, MN 553376735

Phone: 7632318700

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Pinnacle Dermatology Sc

779 Bielenberg Dr, Woodbury, MN 551254432

Phone: 7632318700

Secondary Practice Locations

369 San Miguel Dr, Suite 200

Newport Beach, CA 926607818

Phone: 9494399288

1125 E 17th St Ste W248

Santa Ana, CA 92701

Phone: 7145475151

369 San Miguel Dr, Suite 200

Newport Beach, CA 926607818

Phone: 9494399288

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Julia Reitz , AuD

Audiologist-Hearing Aid Fitter

NPI 1003066168

Doctor of Audiology

NPI 1053059972

Doctor of Medicine (M.D.)

Dr. William Shaffer , MD

Internal Medicine

NPI 1073548459

Doctor of Medicine (M.D.)

Katelynne Deal , PA-S

Physician Assistant

NPI 1104446087

PAS

Angela O'donnell , CNM, APRN

Advanced Practice Midwife

NPI 1104544659

Certified Nurse Midwife, Advanced Practice Registered Nurse

Dr. Harry Fernandes , MD

Internal Medicine

NPI 1124067319

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 05, 2025

Registered at 7920 OLD CEDAR AVE S, BLOOMINGTON, MN 554251207 (Tel: 9524281800)

📍
Updated Practice Location August 22, 2019

Registered at 1125 E 17TH ST STE W248, SANTA ANA, CA 92701 (Tel: 7145475151)

📍
Updated Business Mailing Address August 22, 2019

Registered at 1125 E 17TH ST STE W248, SANTA ANA, CA 927012205 (Tel: 7145475151)

NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2016

Registered at 369 SAN MIGUEL DR, SUITE 200, NEWPORT BEACH, CA 926607818 (Tel: 9494399288)

📍
Updated Business Mailing Address October 12, 2016

Registered at 369 SAN MIGUEL DR, SUITE 200, NEWPORT BEACH, CA 926607818

👤
Provider Name / Credentials Updated October 12, 2016

Recorded as STEPHANIE CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Physician Assistant (License #52997 in CA)

🟢
Initial NPI Registration & Enumeration December 16, 2015

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: 1427413590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2015
Last Update: December 05, 2025
Sole Proprietor: No

Mailing Address

1125 E 17th St Ste W248

Santa Ana, CA 927012205

Phone: 7145475151

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.