Jessica Nicole Clark, NP-C - Medicare Nurse Practitioner in Waterloo, IA

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Jessica Nicole Clark, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Waterloo, Iowa. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Iowa Physicians Clinic Medical Foundation and her current practice location is 1825 Logan Ave, Waterloo, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 235-3697.

Jessica Nicole Clark is licensed to practice in Iowa (license number A154270) 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 1851941991.

Contact Information

Jessica Nicole Clark, NP-C
1825 Logan Ave,
Waterloo, IA 50703-1916
(319) 235-3697
Not Available

Map and Direction




Provider's Profile

Full NameJessica Nicole Clark
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1825 Logan Ave, Waterloo, Iowa
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:
  • Jessica Nicole Clark graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1851941991
  • Provider Enumeration Date: 09/19/2019
  • Last Update Date: 09/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921434150
  • Enrollment ID: I20200207000604

Medical Identifiers

Medical identifiers for Jessica Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851941991NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A154270 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Allen HospitalWaterloo, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iowa Physicians Clinic Medical Foundation8729992318971

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 Nicole Clark allows following entities to bill medicare on her behalf.
Entity NameIowa Physicians Clinic Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366425274
PECOS PAC ID: 8729992318
Enrollment ID: O20031118000363
Entity NameUnitypoint Health - Marshalltown
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164957593
PECOS PAC ID: 0941587307
Enrollment ID: O20170608002304

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 Nicole 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
Jessica Nicole Clark, NP-C
924 Bertch Ave,
Waterloo, IA 50702-3110

Ph: (319) 939-2404		Jessica Nicole Clark, NP-C
1825 Logan Ave,
Waterloo, IA 50703-1916

Ph: (319) 235-3697

Reviews and Comments


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Phone: 319-236-1911    Fax: 319-287-5832
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Ms. Amanda L. Vervaecke, A.R.N.P.
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Mr. Dieter J Boxmann, ARNP
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Practice Location: 146 W Dale St, Suite 101, Waterloo, IA 50703
Phone: 319-233-3351    Fax: 319-233-3132
Marcia A Rellihan, D.O.
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Practice Location: 3421 W 9th St, Suite G4500, Waterloo, IA 50702
Phone: 319-233-8865    Fax: 319-272-0400

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.