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Active NPI 1275058406 Individual Practitioner Female Practitioner

Annie Clark , CRNP

Nurse Practitioner • Hershey, PA

Professional Overview & Biography Verified Profile Summary

Annie Clark, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Hershey, PA. Practice services are available at 500 UNIVERSITY DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 University Dr

Hershey, PA 170332360

Telephone 8002431455
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hershey, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
229 Specialists

Practicing in Hershey, PA (3955 Statewide)

Telehealth Adoption Rate
13.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.8% 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 (2019)
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
213 159 $195.54 $65.91
99213 Established patient office or other outpatient visit, typically 15 minutes
116 102 $132.00 $42.69

Medical Specialties & State Licenses

CMS Verified: 2024-10-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP017701

(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.

Secondary Practice Locations

1000 E Mountain Blvd

Wilkes Barre, PA 187110027

Phone: 5708084772

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Tarik Ali , MD

Surgery - Vascular Surgery

NPI 1003172867

Doctor of Medicine (M.D.)

Dr. Kanthi Bangalore Krishna , MBBS

Pediatrics - Pediatric Endocrinology

NPI 1003197807

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Ntiege Ngwane , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003283276

Certified Registered Nurse Anesthetist

Dr. Moein Jafari , MD

Internal Medicine - Hematology & Oncology

NPI 1003308990

Doctor of Medicine (M.D.)

NPI 1003349309

Doctor of Medicine (M.D.)

Dr. Amy Miller , PT, DPT

Physical Therapist

NPI 1003364506

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 03, 2024

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 8002431455)

📍
Updated Business Mailing Address October 03, 2024

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 8002431455)

NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2017

Registered at 1000 E MOUNTAIN BLVD, WILKES BARRE, PA 187110027 (Tel: 5708084772)

📍
Updated Business Mailing Address August 09, 2017

Registered at 1533 ADAMS AVE, DUNMORE, PA 185092437 (Tel: 5705753804)

👤
Provider Name / Credentials Updated August 09, 2017

Recorded as ANNIE CLARK, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Nurse Practitioner (License #SP017701 in PA)

🟢
Initial NPI Registration & Enumeration August 09, 2017

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: 1275058406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2017
Last Update: October 03, 2024
Sole Proprietor: No

Mailing Address

500 University Dr

Hershey, PA 170332360

Phone: 8002431455

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.