NADIA SHANISE CLARK FNP-C NPI 1689345506

NPI Information

  • NPI: 1689345506
  • Provider Name: NADIA SHANISE CLARK, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4297 US HIGHWAY 42
    BASSFIELD, MS
    ZIP 39421
  • Phone: (601) 943-5060

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NPI Details

Nadia Shanise Clark, FNP-C is a family nurse practitioner in Bassfield, MS with 4 years of experience. Nadia Shanise Clark, FNP-C NPI is 1689345506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4297 US HIGHWAY 42
BASSFIELD, MS
ZIP 39421
Phone: (601) 943-5060
Fax: (601) 943-5888

The NPI 1689345506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Blood creatinine level (HCPCS:82565)
  • Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) (HCPCS:80051)
  • Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Albumin (protein) level (HCPCS:82040)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Phosphatase (enzyme) level, alkaline (HCPCS:84075)
  • Total protein level, blood (HCPCS:84155)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Amylase (enzyme) level (HCPCS:82150)
  • Bilirubin level, total (HCPCS:82247)
  • Glutamyltransferase (liver enzyme) level (HCPCS:82977)
  • Urinalysis for bacteria (HCPCS:81007)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Insertion of needle into vein (3 years or older) (HCPCS:36410)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • X-ray of chest, 2 views (HCPCS:71046)
  • New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)

The enumeration date for this NPI number is 9/21/2021 and was last updated on 3/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily904907MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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