Julie Clark, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1528 Issued in OK

Practice address

1013 Dewey Ave
Poteau, OK 74953-4409

Phone

(918) 721-0140

Fax

(918) 647-0460

NPI assigned

Jul 24, 2006

Last updated

May 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Physician Assistant

Education

University of Oklahoma College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro-Care Family Health of Oklahoma , LLCGroup PAC ID 1456603901, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mays Housecall Home Health of Tulsa, LLC Home health agency, Tulsa, OK, CCN 377691
• Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.clark.1@29002.direct.athenahealth.com

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

• Pro-Care Family Health of Oklahoma , LLC

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1396234761
  Medicare reassignment Care Compare group
• Hometown Drug Company LLC

  dba ExpressCare

  • Urgent Care Clinic/Center
  • Poteau, OK
  • NPI 1881980985
  Medicare reassignment NPD
• Leflore County Hospital Authority

  dba Eastern Oklahoma Medical Center

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  NPD (past)

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

• Leflore County Hospital Authority

  dba Mountain Gateway Senior Health

  • Psychiatric Hospital Unit
  • Poteau, OK
  • NPI 1184997447
  Care Compare affiliation
• Leflore County Hospital Authority

  dba Eastern Oklahoma Medical Center

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  Care Compare affiliation
• Mays Housecall Home Health of Tulsa, LLC

  • Home Health Agency
  • Tulsa, OK
  • NPI 1063837706
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1093737439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531278",
            "telephone_number": "918-721-0140",
            "fax_number": "918-647-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534409",
            "telephone_number": "918-721-0140",
            "fax_number": "918-647-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JULIE",
        "name_prefix": "Miss",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200089790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choctaw Nation of Oklahoma (Choctaw Nation Health Care Clinic-Poteau)
• Choctaw Nation of Oklahoma (Choctaw Nation Rubin White Poteau Clinic Pharmacy)
• Jolie Bay Christenberry
• Jonathan R Clark, D.O.
• Jonathan Scott Clark, D.O.
• Payden Cloud, OD
• Kimberly Kay Cobb, ARNP
• Sandra Lee Cochran, CCM
• Nathen Joseph Colbert
• Amber Mae Collins, B.S.

• Physician Assistant in Poteau, OK
• Providers in Poteau, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.