Jeremy L. Clark, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-148637 Issued in AL

Practice address

985 9TH Ave SW Ste 307
Bessemer, AL 35022-7809

Phone

(205) 481-7384

NPI assigned

Sep 5, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical West Hospital Authority, an Affiliate of Uab Health SystemGroup PAC ID 6406865427, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114

Merit-based Incentive Payment System (MIPS)

Final score

98.67 of 100Reported as apm

Quality

80.18

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clark.jeremy@direct.uabmw.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical West Hospital Authority, an Affiliate of Uab Health System

  • Multi-Specialty Clinic/Center
  • Bessemer, AL
  • NPI 1952483729
  Medicare reassignment Care Compare group NPD
• Medical West Hospital Authority, an Affiliate of Uab Health System

  • General Acute Care Hospital
  • Bessemer, AL
  • NPI 1790896710
  NPD
• Alabama Digestive Diseases,P.C

  • Specialist
  • Bessemer, AL
  • NPI 1538255922
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical West Hospital Authority, an Affiliate of Uab Health System

  • General Acute Care Hospital
  • Bessemer, AL
  • NPI 1790896710
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003334665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW STE 307",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227809",
            "telephone_number": "205-481-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW STE 307",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227809",
            "telephone_number": "205-481-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JEREMY",
        "middle_name": "L.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clark.jeremy@direct.uabmw.org",
            "affiliation": "N",
            "address_1": "985 9th Ave SW Ste 307",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350227809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chiropractic West, LLC
• Reid S Christopher, M.D.
• Jeffrey G Church, R.PH.
• City of Bessemer
• Leigh Ann Lawrence Clanton, RN CRNP
• Clarus Surgery, LLC
• Benjamin Wade Clements
• Jason Lee Clemons, M.D.
• Stephanie L Clevenger, RN
• Clinic Calls LLC

• Family Nurse Practitioner in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.