Jessica Clark, CNP in Sioux Falls, SD - Medicare Nurse Practitioner

Jessica Clark, CNP is a medicare enrolled "Nurse Practitioner" in Sioux Falls, South Dakota. Her current practice location is 911 E 20th St Ste 300, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 504-1100.

Jessica Clark is licensed to practice in South Dakota (license number CP003004) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033981774.

Contact Information

	Jessica Clark, CNP
	911 E 20th St Ste 300, Sioux Falls, SD 57105-1045
	(605) 504-1100
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Clark
Gender	Female
Speciality	Nurse Practitioner
Location	911 E 20th St Ste 300, Sioux Falls, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033981774
Provider Enumeration Date: 10/26/2023
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5597109587
Enrollment ID: I20240218000072

Medical Identifiers

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

Identifier	Type	State	Issuer
1033981774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CP003004 (South Dakota)	Primary

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. Jessica Clark allows following entities to bill medicare on her behalf.

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

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. Jessica 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
Jessica Clark, CNP 2420 E Baxter Cir, Sioux Falls, SD 57108-4844 Ph: () -	Jessica Clark, CNP 911 E 20th St Ste 300, Sioux Falls, SD 57105-1045 Ph: (605) 504-1100

Reviews and Comments

Nurse Practitioner Nurses in Sioux Falls, SD

Paul Stamp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 S Cliff Ave, Suite 610, Sioux Falls, SD 57105 Phone: 605-322-8860
Lien Lieve Swieringa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 S Ellis Rd, Sioux Falls, SD 57106 Phone: 605-312-3000
Kaitlyn Sarah Isaacson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6110 S Minnesota Ave, Sioux Falls, SD 57108 Phone: 605-328-5800
Mariah Schurman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 18th St, Sioux Falls, SD 57105 Phone: 605-312-2100
Dillon Matthew Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 S Cliff Ave # 2, Sioux Falls, SD 57105 Phone: 605-322-7020
Chelsey Zondervan, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1309 W 17th St, Sioux Falls, SD 57104 Phone: 605-328-8000 Fax: 605-328-8001
Mrs. Donna Lynn Sebesta, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 S Grandview Ave, Sioux Falls, SD 57103 Phone: 605-371-3436

Jessica Clark, CNP - Medicare Nurse Practitioner in Sioux Falls, SD