Crystal Joan Clark, APRN in Omaha, NE - Medicare Nurse Practitioner

Crystal Joan Clark, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Omaha, Nebraska. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Madonna Rehabilitation Hospital and her current practice location is 11930 Arbor St Ste 200, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 697-1601.

Crystal Joan Clark is licensed to practice in Nebraska (license number 111457) 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 1417391160.

Contact Information

	Crystal Joan Clark, APRN
	11930 Arbor St Ste 200, Omaha, NE 68144-2998
	(402) 697-1601
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Joan Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	11930 Arbor St Ste 200, Omaha, Nebraska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Joan Clark graduated from nursing school in 2011

NPI Data:

NPI Number: 1417391160
Provider Enumeration Date: 04/24/2013
Last Update Date: 04/24/2013

Medicare PECOS Information:

PECOS PAC ID: 8820376387
Enrollment ID: I20161103001465

Medical Identifiers

Medical identifiers for Crystal Joan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417391160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	111457 (Nebraska)	Primary
363LA2200X	Nurse Practitioner - Adult Health	111457 (Nebraska)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Nebraska Medical Center	Omaha, NE	Hospital
Chi Health Bergan Mercy	Omaha, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Madonna Rehabilitation Hospital	0446164081	52

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. Crystal Joan Clark allows following entities to bill medicare on her behalf.

Entity Name	Madonna Rehabilitation Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417045642 PECOS PAC ID: 0446164081 Enrollment ID: O20031118000079

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. Crystal Joan 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 Address	Practice Location Address
Crystal Joan Clark, APRN 11930 Arbor St Ste 200, Omaha, NE 68144-2998 Ph: (402) 697-1601	Crystal Joan Clark, APRN 11930 Arbor St Ste 200, Omaha, NE 68144-2998 Ph: (402) 697-1601

Reviews and Comments

Nurse Practitioner Nurses in Omaha, NE

Jacqueline Maria Sellner, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13609 California Street, Suite 200, C/o Aureus Medical Group, Omaha, NE 68154 Phone: 800-856-6385
Carrie L Hovey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4920 S 30th St, Suite 103, Omaha, NE 68107 Phone: 402-734-4110 Fax: 402-734-3990
Ms. Gloria Kokes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2429 M St, Omaha, NE 68107 Phone: 402-731-7333 Fax: 402-614-5405
Angela Salazar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 S 30th St Ste 103, Omaha, NE 68107 Phone: 402-734-4110 Fax: 402-734-3990
Sandra M Cayler, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2126 N 117th Ave, Omaha, NE 68164 Phone: 402-934-1617 Fax: 402-934-5228
Nicole M Shaffer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7710 Mercy Rd Ste 224, Omaha, NE 68124 Phone: 402-717-0880 Fax: 402-717-6068
Olivia B Tedesco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7500 Mercy Rd, Omaha, NE 68124 Phone: 402-398-6014 Fax: 402-398-6983

Crystal Joan Clark, APRN - Medicare Nurse Practitioner in Omaha, NE