Mr Jennifer Anne Clark, NP-C - Medicare Nurse Practitioner in Vineland, NJ

  1. Home
  2. Nurse Practitioner
  3. NJ
  4. Vineland
Mr Jennifer Anne Clark, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Vineland, New Jersey. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Excelcare Alliance Llc, Cooper Physician Offices Pa and her current practice location is 1505 W Sherman Ave, Vineland, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 641-8000.

Mr Jennifer Anne Clark is licensed to practice in New Jersey (license number 26NJ00198600) 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 1629203948.

Contact Information

Mr Jennifer Anne Clark, NP-C
1505 W Sherman Ave,
Vineland, NJ 08360-6912
(856) 641-8000
Not Available

Map and Direction




Provider's Profile

Full NameMr Jennifer Anne Clark
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location1505 W Sherman Ave, Vineland, New Jersey
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:
  • Mr Jennifer Anne Clark graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1629203948
  • Provider Enumeration Date: 05/17/2009
  • Last Update Date: 05/17/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4789720301
  • Enrollment ID: I20091012000278

Medical Identifiers

Medical identifiers for Mr Jennifer Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629203948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00198600 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inspira Medical Center ElmerElmer, NJHospital
Inspira Medical Center VinelandVineland, NJHospital
Cape Regional Medical Center IncCape may court house, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Excelcare Alliance Llc094147008219
Cooper Physician Offices Pa2860396611235

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. Mr Jennifer Anne Clark allows following entities to bill medicare on her behalf.
Entity NameCooper Physician Offices Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154369510
PECOS PAC ID: 2860396611
Enrollment ID: O20031122000067
Entity NameCommunity Health Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700816816
PECOS PAC ID: 9335040419
Enrollment ID: O20040402000981
Entity NameSouthern Oncology Hematology Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144211087
PECOS PAC ID: 2163435124
Enrollment ID: O20060718000019
Entity NameShore Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689795338
PECOS PAC ID: 1052493202
Enrollment ID: O20080128000527
Entity NameExcelcare Alliance Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891090510
PECOS PAC ID: 0941470082
Enrollment ID: O20110830000049

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. Mr Jennifer Anne 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
Mr Jennifer Anne Clark, NP-C
249 Husted Station Rd,
Elmer, NJ 08318-3806

Ph: (856) 358-0760		Mr Jennifer Anne Clark, NP-C
1505 W Sherman Ave,
Vineland, NJ 08360-6912

Ph: (856) 641-8000

Reviews and Comments


Nurse Practitioner Nurses in Vineland, NJ

Brian Hugh Shannon, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1138 E Chestnut Ave Ste 8b, Vineland, NJ 08360
Phone: 856-213-9733    Fax: 856-575-5080
Donna Gibson, RN, APNC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-8000    
Erika Charlene Cruz, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-8000    
Angel Antonio Ramos, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1051 W Sherman Ave, Vineland, NJ 08360
Phone: 631-534-7246    
Anastasia Abena Amponsah,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 994 W Sherman Ave Bldg 2, Vineland, NJ 08360
Phone: 856-288-1281    
Miss Suzett Simone Shaw, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2445 S Delsea Dr, Inspira Life Vineland, Vineland, NJ 08360
Phone: 856-334-1961    
Marcia Montanez Cathey, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3403 S Delsea Dr, Vineland, NJ 08360
Phone: 856-293-6974    

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.