Deactivated NPI 1770820110 Deactivated / Inactive NPI Female Practitioner

Dana Michele Clark , FNP

Nurse Practitioner • Las Vegas, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dana Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2013

NPI Deactivation Date June 22, 2020

Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Dana Clark, FNP was a registered Nurse Practitioner practicing in Las Vegas, NV. Throughout an active medical career spanning 7 years, Dana Clark provided care at the practice location at 2851 EL CAMINO AVE until profile deactivation on 2020-06-22.

Historical Medicare Part B clinical services included established patient outpatient office visit, ultrasonic guidance imaging supervision and interpretation for insertion of needle, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2851 El Camino Ave
Suite 101

Las Vegas, NV 891024266

Telephone 7023803210

Fax 7023803212

Associated Practice Facility / Clinic

🏢 Steven V Kozmary Md Llc Facility NPI 1063579803

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Las Vegas, NV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.6 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

568 Specialists

Practicing in Las Vegas, NV (919 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% 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 (2020)

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	22	14	$250.00	$93.12

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	133	26	$250.00	$91.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	257	139	$186.61	$61.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	86	$313.71	$90.40
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	37	27	$1000.00	$48.15
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	24	24	$2505.50	$112.14
80307 Testing for presence of drug, by chemistry analyzers	24	24	$515.25	$70.39
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	21	15	$473.00	$101.98
62370 Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	15	11	$990.00	$106.81
62367 Electronic analysis of spinal canal drug infusion pump	12	11	$820.00	$36.01
J3490 Unclassified drugs	11	11	$750.00	$58.06

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	1,151	366	$381.25	$90.18
99213 Established patient office or other outpatient visit, typically 15 minutes	1,004	239	$203.00	$61.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	228	52	$1000.00	$50.87
62370 Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	122	48	$990.00	$106.80
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	86	36	$473.00	$99.88
62368 Electronic analysis and reprogramming of spinal canal drug infusion pump	74	21	$990.00	$46.83
62367 Electronic analysis of spinal canal drug infusion pump	58	28	$820.00	$34.56
J3490 Unclassified drugs	20	17	$750.00	$94.39
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	15	15	$2505.50	$108.59
80307 Testing for presence of drug, by chemistry analyzers	14	14	$515.25	$72.62

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NV APRN001435

(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.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Theresa Peacock , NP

Nurse Practitioner - Family

NPI 1083736755

Nurse Practitioner

Cynthia Kozmary , MFT, LADC

Marriage & Family Therapist

NPI 1225348659

Marriage and Family Therapist, Licensed Alcohol and Drug Counselor

Dr. Steven Kozmary , MD

Anesthesiology - Pain Medicine

NPI 1659337459

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated June 22, 2020

Record deactivated on June 22, 2020

✅

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2016

Registered at 2851 EL CAMINO AVE, SUITE 101, LAS VEGAS, NV 891024266 (Tel: 7023803210)

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Updated Business Mailing Address November 02, 2016

Registered at 2851 EL CAMINO AVE STE 101, LAS VEGAS, NV 891024266 (Tel: 7023803210)

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Provider Name / Credentials Updated November 02, 2016

Recorded as DANA CLARK, FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Nurse Practitioner (License #APRN001435 in NV)

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Initial NPI Registration & Enumeration January 04, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1770820110

Entity Type:

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

Enumeration Date: January 04, 2013

Last Update: November 02, 2016

Deactivation Date: June 22, 2020

Update or Correct Profile

Mailing Address

2851 El Camino Ave Ste 101

Las Vegas, NV 891024266

Phone: 7023803210

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.