Christina Simone Clark, ACNP - Medicare Nurse Practitioner in Cleveland, OH

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Christina Simone Clark, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Cleveland, Ohio. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Santibanez Pac Ohio Inc, Usacs Integrated Acute Care Services Of Ohio Llc and her current practice location is 1001 Lakeside Ave E, Suite 1000, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 217-3451.

Christina Simone Clark is licensed to practice in Ohio (license number NP10073) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174771471.

Contact Information

Christina Simone Clark, ACNP
1001 Lakeside Ave E, Suite 1000,
Cleveland, OH 44114-1158
(216) 217-3451
Not Available

Map and Direction




Provider's Profile

Full NameChristina Simone Clark
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location1001 Lakeside Ave E, Cleveland, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christina Simone Clark attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2008
  NPI Data:
  • NPI Number: 1174771471
  • Provider Enumeration Date: 08/29/2008
  • Last Update Date: 07/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6204983513
  • Enrollment ID: I20090402000225

Medical Identifiers

Medical identifiers for Christina Simone Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174771471NPI-NPPES
2957715MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care NP10073 (Ohio)Primary
364SA2100XClinical Nurse Specialist - Acute Care RN314321 (Ohio)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Santibanez Pac Ohio Inc741639154514
Usacs Integrated Acute Care Services Of Ohio Llc9032527221261

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christina Simone Clark allows following entities to bill medicare on her behalf.
Entity NameInpatient Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093756314
PECOS PAC ID: 6406753045
Enrollment ID: O20031212000790
Entity NameCommunity Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538236872
PECOS PAC ID: 5496648123
Enrollment ID: O20040205000697
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity Name4m Hospitalist Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508288531
PECOS PAC ID: 0446480966
Enrollment ID: O20140303000908
Entity NameUsacs Integrated Acute Care Services Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043805690
PECOS PAC ID: 9032527221
Enrollment ID: O20210428002191
Entity NameUsacs Observation Medicine Services Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649947151
PECOS PAC ID: 7911398789
Enrollment ID: O20220105001713
Entity NameSantibanez Pac Ohio Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245005842
PECOS PAC ID: 7416391545
Enrollment ID: O20240216002415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Simone Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christina Simone Clark, ACNP
1001 Lakeside Ave E, Suite 1000,
Cleveland, OH 44114-1158

Ph: (216) 217-3451		Christina Simone Clark, ACNP
1001 Lakeside Ave E, Suite 1000,
Cleveland, OH 44114-1158

Ph: (216) 217-3451

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.