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Active NPI 1306956172 Individual Practitioner Female Practitioner

Teresa M Clark , CRNP

Nurse Practitioner • Moosic, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Teresa Clark, CRNP is a certified Nurse Practitioner practicing in Moosic, PA. With approximately 25 years of clinical experience since completing medical education in 2001, Teresa Clark delivers high-quality medical care to the local community at 340 MONTAGE MOUNTAIN RD.

Teresa Clark is affiliated with Comprehensive Pain Management Specialists , Llc 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, injection of trigger points, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

340 Montage Mountain Rd

Moosic, PA 185071782

Telephone 5703463686
Fax 5705586838
Associated Practice Facility / Clinic
🏢 Danilo De Soto Md Pc Facility NPI 1447354196

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 Moosic, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +9.5 yrs vs City Avg
City Avg: 15.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Moosic, PA (3955 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (25 Years) 25 Yrs
Moosic Specialty Average (15.5 Years) 15.5 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
201 117 $145.52 $70.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
55 30 $100.00 $43.64
20553 Injection of trigger points, 3 or more muscles
29 15 $180.00 $44.64

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA TP006932B

(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.

Hospital & Practice Group Affiliations

Comprehensive Pain Management Specialists , Llc

1177 Hwy 315 Blvd, Wilkes Barre, PA 187026928

Phone: 5702705700

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Fidiam , PA-C

Physician Assistant - Medical

NPI 1003193202

Physician Assistant (Certified)

Jessica Mcdonough , MS, NCC, LPC

Counselor - Professional

NPI 1003383431

Master of Science, National Certified Counselor, Licensed Professional Counselor

Franciele Dacruz , LAPC

Counselor - Professional

NPI 1003614892
Joseph Feistl , PA

Physician Assistant - Medical

NPI 1013338920

Physician Assistant

Liza Beviglia

Physician Assistant

NPI 1023835477
Matthew Vinnacombe , PA-C

Physician Assistant - Medical

NPI 1053780981

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2010

Registered at 340 MONTAGE MOUNTAIN RD, MOOSIC, PA 185071782 (Tel: 5703463686)

📍
Updated Business Mailing Address September 02, 2010

Registered at 340 MONTAGE MOUNTAIN RD, MOOSIC, PA 185071782 (Tel: 5703463686)

👤
Provider Name / Credentials Updated September 02, 2010

Recorded as TERESA CLARK, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2010

Nurse Practitioner (License #TP006932B in PA)

🟢
Initial NPI Registration & Enumeration August 30, 2006

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: 1306956172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: September 02, 2010
Sole Proprietor: No

Mailing Address

340 Montage Mountain Rd

Moosic, PA 185071782

Phone: 5703463686

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.