Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558478933 Individual Practitioner Female Practitioner

Ricketta Clark , NP

Nurse Practitioner • Memphis, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ricketta Clark, NP is a certified Nurse Practitioner practicing in Memphis, TN. With approximately 28 years of clinical experience since completing medical education in 1998, Ricketta Clark delivers high-quality medical care to the local community at 880 MADISON AVE.

Ricketta Clark is affiliated with Ut Regional One Physicians Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

880 Madison Ave

Memphis, TN 381033409

Telephone 9014907929
Associated Practice Facility / Clinic
🏢 Regional Medical Center Facility NPI 1659494359

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Memphis, TN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +17.4 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
199 Specialists

Practicing in Memphis, TN (2343 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (28 Years) 28 Yrs
Memphis Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-11-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN 7029

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3905917 (TN)

Hospital & Practice Group Affiliations

Ut Regional One Physicians Inc

880 Madison Ave, Memphis, TN 381033409

Phone: 9015456969

Practice Associates & Co-Workers

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

40 Associated Practitioners
Michelle Rush , MSN, APRN, BC

Nurse Practitioner - Family

NPI 1003006396

Master of Science in Nursing, Advanced Practice Registered Nurse, BC

NPI 1003677436

Doctor of Pharmacy (Pharm.D.)

Dr. Karl Weber , MD

Internal Medicine - Cardiovascular Disease

NPI 1003872078

Doctor of Medicine (M.D.)

Dr. Adela Castro Gutierrez , MD

Internal Medicine - Rheumatology

NPI 1013368430

Doctor of Medicine (M.D.)

Dr. Macy Garcia , PharmD

Pharmacy - Specialty Pharmacy

NPI 1053019208

Doctor of Pharmacy (Pharm.D.)

Dr. Syed Raza , MD

Internal Medicine - Rheumatology

NPI 1063636306

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 09, 2021

Registered at 880 MADISON AVE, MEMPHIS, TN 381033409 (Tel: 9014907929)

📍
Updated Business Mailing Address November 09, 2021

Registered at 880 MADISON AVE, MEMPHIS, TN 381033409 (Tel: 9014907929)

👤
Provider Name / Credentials Updated November 09, 2021

Recorded as RICKETTA CLARK, NP

👤
Provider Name / Credentials Updated November 05, 2021

Recorded as RICKETTA HARRELL-CLARK, N.P

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1417 MONROE AVE, MEMPHIS, TN 381043634 (Tel: 9012727200)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1417 MONROE AVE, MEMPHIS, TN 381043634 (Tel: 9012727200)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RICKETTA HARRELL-CLARK, N.P>

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Nurse Practitioner (License #7029 in TN)

🟢
Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ricketta Clark. Be the first to share your experience!

Sign in to leave a review for Ricketta Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558478933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: November 09, 2021
Sole Proprietor: No

Mailing Address

880 Madison Ave

Memphis, TN 381033409

Phone: 9014907929

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.