Austine Leigh Clark, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.15685-NP Issued in OH

Practice address

14440 Cedar Rd.
University Heights, OH 44121

Phone

(216) 381-8726

Fax

(216) 381-4426

NPI assigned

Mar 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Care IncorporatedGroup PAC ID 2668466012, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (10 of 14)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: aclark675166@direct.ochin.org
• Direct secure messaging: aclark265672@direct.metrohealth.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.

• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1720135304

  OH

  Medicare reassignment Care Compare group NPD
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1295786267
  Care Compare group NPD (past)
• Neighborhood Health Care Incorporated

  • Pharmacy
  • Cleveland, OH
  • NPI 1205327095
  Care Compare group
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1306268677
  Care Compare group
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1316148745
  Care Compare group
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1326690934
  Care Compare group
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1437539517
  Care Compare group
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1477823565
  Care Compare group
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lakewood, OH
  • NPI 1669146908
  Care Compare group
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lakewood, OH
  • NPI 1831666965
  Care Compare group
• Neighborhood Health Care Incorporated

  • Pharmacy
  • Cleveland, OH
  • NPI 1427847854
  NPD
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1568014173
  NPD

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1104242205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 CEDAR RD.",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-381-8726",
            "fax_number": "216-381-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 CEDAR RD.",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-381-8726",
            "fax_number": "216-381-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AUSTINE",
        "middle_name": "LEIGH",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "15685NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15685-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie a. White Inc.
• Sandra Constance Chetnik-Norris, RN ANP
• Childrens Optical Co Inc
• Matthew Christyson
• City of University Heights
• Cleveland HTS University HTS City SD
• Aries Nichelle Cobb, PH.D.
• Leah Coburn, M.A. CCC-SLP
• Theodore Cohn
• Cole Vision Corporation

• All providers in University Heights, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.