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Active NPI 1376166579 Individual Practitioner Female Practitioner

Candace Ann Clark , PA

Physician Assistant • Milwaukee, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Candace Clark, PA is a certified Physician Assistant practicing in Milwaukee, WI. With approximately 6 years of clinical experience since completing medical education in 2020, Candace Clark delivers high-quality medical care to the local community at 9200 W WISCONSIN AVE.

Candace Clark is affiliated with The Medical College Of Wisconsin Inc 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, new patient outpatient office visit, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9200 W Wisconsin Ave

Milwaukee, WI 532263522

Telephone 4148058710
Fax 4148051101
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Milwaukee, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
824 Specialists

Practicing in Milwaukee, WI (3517 Statewide)

Telehealth Adoption Rate
11.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
83.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (6 Years) 6 Yrs
Milwaukee Specialty Average (10.1 Years) 10.1 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
21 20 $570.00 $113.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 16 $366.00 $76.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $594.00 $64.31

Medical Specialties & State Licenses

CMS Verified: 2022-04-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 5185

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1376166579 (WI)

Hospital & Practice Group Affiliations

The Medical College Of Wisconsin Inc

8701 W Watertown Plank, Milwaukee, WI 532263548

Phone: 4148053666

The Medical College Of Wisconsin Inc

8701 Watertown Plank Rd, Milwaukee, WI 532263548

Phone: 4148053666

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Joshua Medow , MD

Neurological Surgery

NPI 1023073400

Doctor of Medicine (M.D.)

Erin Saeed , PA-C

Physician Assistant

NPI 1023659711

Physician Assistant (Certified)

Kelly Sye , APNP

Nurse Practitioner

NPI 1033407010

Advanced Practice Nurse Prescriber

Angela Scipior , APNP

Nurse Practitioner - Family

NPI 1033651146

Advanced Practice Nurse Prescriber

Dr. Xu Tang , DO

Psychiatry & Neurology - Neurology

NPI 1043847601

Doctor of Osteopathic Medicine (D.O.)

Dr. Shashwat Pokharel , MD

Psychiatry & Neurology - Neurology

NPI 1063036762

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 22, 2022

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148058710)

📍
Updated Business Mailing Address April 22, 2022

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148058710)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2022

Physician Assistant (License #5185 in WI)

NPI Profile Active May 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2020

Registered at 7237 WELLAUER DR, WAUWATOSA, WI 532133665 (Tel: 4147481112)

📍
Updated Business Mailing Address May 21, 2020

Registered at 7237 WELLAUER DR, WAUWATOSA, WI 532133665 (Tel: 4147481112)

👤
Provider Name / Credentials Updated May 21, 2020

Recorded as CANDACE CLARK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 21, 2020

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: 1376166579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2020
Last Update: April 22, 2022
Sole Proprietor: No

Mailing Address

9200 W Wisconsin Ave

Milwaukee, WI 532263522

Phone: 4148058710

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.