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Active NPI 1922680321 Individual Practitioner Female Practitioner

Breanna Clark , CRNP

Nurse Practitioner • Hershey, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Breanna Clark, CRNP is a certified Nurse Practitioner practicing in Hershey, PA. With approximately 6 years of clinical experience since completing medical education in 2020, Breanna Clark delivers high-quality medical care to the local community at 30 HOPE DR.

Breanna Clark is affiliated with The Milton S Hershey Medical Center Physicians Group and accepts Medicare assignment.

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

30 Hope Dr

Hershey, PA 170332036

Telephone 7175318887
Fax 7175314974
Associated Practice Facility / Clinic
🏢 Lawall At Hershey, Inc. Facility NPI 1477554400

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hershey, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.7 yrs vs City Avg
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
78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (6 Years) 6 Yrs
Hershey Specialty Average (10.7 Years) 10.7 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
76 51 $360.00 $78.83
99213 Established patient office or other outpatient visit, typically 15 minutes
25 24 $245.00 $54.19

Medical Specialties & State Licenses

CMS Verified: 2024-09-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP023123

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License PA SP023123

Definition to come...

Hospital & Practice Group Affiliations

The Milton S Hershey Medical Center Physicians Group

3100 Schoolhouse Rd, Middletown, PA 170573548

Phone: 7179485180

Secondary Practice Locations

335 Lambs Gap Rd

Mechanicsburg, PA 170502784

Phone: 7175911425

3100 Schoolhouse Rd

Middletown, PA 170573548

Phone: 7179485180

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Karima Fitzgerald , MD

Surgery - Trauma Surgery

NPI 1003048802

Doctor of Medicine (M.D.)

NPI 1013536499

Doctor of Osteopathic Medicine (D.O.)

Dr. Lacee Laufenberg-Puopolo , MD

Surgery - Trauma Surgery

NPI 1033344403

Doctor of Medicine (M.D.)

Dr. Kevin Mckenna , MD

Colon & Rectal Surgery

NPI 1043268634

Doctor of Medicine (M.D.)

Christine Ardell , CRNP

Nurse Practitioner

NPI 1043573389

Certified Registered Nurse Practitioner

NPI 1043674328

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 18, 2024

Registered at 30 HOPE DR, HERSHEY, PA 170332036 (Tel: 7175318887)

📍
Updated Practice Location December 06, 2023

Registered at 3100 SCHOOLHOUSE RD, MIDDLETOWN, PA 170573548 (Tel: 7179485180)

👤
Provider Name / Credentials Updated May 24, 2021

Recorded as BREANNA CLARK, CRNP

NPI Profile Active April 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2021

Registered at 335 LAMBS GAP RD, MECHANICSBURG, PA 170502784 (Tel: 7175911425)

📍
Updated Business Mailing Address April 25, 2021

Registered at 90 HOPE DR., P.O. BOX 855, HERSHEY, PA 170330855 (Tel: 7175317180)

👤
Provider Name / Credentials Updated April 25, 2021

Recorded as BREANNA OSULLIVAN, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2021

Nurse Practitioner (License #SP023123 in PA)

🟢
Initial NPI Registration & Enumeration April 25, 2021

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: 1922680321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2021
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

90 Hope Dr., P.o. Box 855

Hershey, PA 170330855

Phone: 7175317180

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.