Elise Diane Clark, FNP BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.06689 Issued in OH

Practice address

607 Elida Ave
Delphos, OH 45833-1736

Phone

(419) 991-7805

NPI assigned

Sep 13, 2005

Last updated

Apr 29, 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 3

Electronic endpoints 1

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

University of Toledo College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lima Memorial Professional CorporationGroup PAC ID 1254232184, 167 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lima Memorial Health System Hospital, Lima, OH, CCN 360009
• Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

Merit-based Incentive Payment System (MIPS)

Final score

81.49 of 100Reported as apm

Quality

62.97

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lima Memorial Professional Corporation

  • Specialist
  • Lima, OH
  • NPI 1457474900
  Medicare reassignment Care Compare group NPD
• Family Physicians of Lima Inc

  • Family Medicine Physician
  • Lima, OH
  • NPI 1134112469
  Medicare reassignment NPD
• Family Physicians of Lima Inc

  • Family Medicine Physician
  • Spencerville, OH
  • NPI 1669550182
  NPD
• Lima Memorial Professional Corporation

  dba Lima Memorial Health System Northland Medical Center

  • Family Medicine Physician
  • Lima, OH
  • NPI 1669758793

  Nurse Practitioner

  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  dba Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Lima, OH
  • NPI 1447276936
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  dba Mercy Health-St Rita's Medical Center

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1811939887
  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1184619595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 ELIDA AVE",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458331736",
            "telephone_number": "419-991-7805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2875 W Elm St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458052510",
            "country_code": "US",
            "telephone_number": "419-991-7805",
            "fax_number": "419-991-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ELISE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.06689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS/RAILROAD MEDICA",
            "identifier": "500023896",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9934001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2360252",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elise.clark@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2875 W Elm St",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458052510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Howard Cardwell
• Molly Carr
• Sarah Elizabeth Caster
• Tourunethia Chandler-McAllister
• Devin Chiow, LSW
• Amy Clay, PTA
• Alan Joseph Cline, .D.D.S.
• CNP for Hire, LLC
• Heather Nicole Cook
• Mary E Coplin, FNP

• Nurse Practitioner in Delphos, OH
• Providers in Delphos, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.