Mrs Theresa Ann Clark, FNP-BC - Nurse Practitioner in Middlebury, IN

Mrs Theresa Ann Clark, FNP-BC is a Nurse Practitioner - Family based in Middlebury, Indiana. Mrs Theresa Ann Clark is licensed to practice in Indiana (license number 28108427A) and her current practice location is 420 N Main St, Middlebury, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 825-3400.

NPI number for Mrs Theresa Ann Clark is 1548893506 and her current mailing address is 69014 Tamarack Rd, Walkerton, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548893506.

Contact Information

Mrs Theresa Ann Clark, FNP-BC
420 N Main St,
Middlebury, IN 46540-8985
(574) 825-3400
Not Available

Map and Direction




Provider's Profile

Full NameMrs Theresa Ann Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location420 N Main St, Middlebury, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548893506
  • Provider Enumeration Date: 02/18/2020
  • Last Update Date: 07/21/2020

Medical Identifiers

Medical identifiers for Mrs Theresa Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548893506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 28108427A (Indiana)Primary

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. Mrs Theresa Ann Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Theresa Ann Clark, FNP-BC
69014 Tamarack Rd,
Walkerton, IN 46574-9735

Ph: () -
Mrs Theresa Ann Clark, FNP-BC
420 N Main St,
Middlebury, IN 46540-8985

Ph: (574) 825-3400

Reviews and Comments


Nurse Practitioner Nurses in Middlebury, IN

Mrs. Amy Elizabeth Hoffman, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 226 Us Highway 20, Middlebury, IN 46540
Phone: 574-825-8068    
Julie Ann Hartzler, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1155 N 1200 W, Middlebury, IN 46540
Phone: 574-825-3888    
Tamara Kay Coney, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1155 N 1200 W, Middlebury, IN 46540
Phone: 574-825-3888    Fax: 574-318-3358
Leeann Marie Enix, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 206 W Warren St, Middlebury, IN 46540
Phone: 574-358-0042    Fax: 574-358-0157
Andrea N Carroll, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 206 W Warren St, Middlebury, IN 46540
Phone: 574-358-0042    Fax: 574-358-0157
Janet E. Kercher, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 206 W Warren St, Middlebury, IN 46540
Phone: 574-825-2146    Fax: 574-524-7435

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.