Elizabeth Clark

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R576255 Issued in MS

Practice address

2500 N State St
PFS
Jackson, MS 39216-4500

Phone

(601) 984-4619

NPI assigned

Oct 5, 2006

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

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center-Leake Hospital, Carthage, MS, CCN 251315

Merit-based Incentive Payment System (MIPS)

Final score

76.9 of 100Reported as group

Quality

47.44

Promoting interoperability

98

Improvement activities

40

Cost

77.24

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Lifelinc Anesthesia, PLLC

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1801021464

  MS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gastrointestinal Associates, P.a.

  • Gastroenterology Physician
  • Flowood, MS
  • NPI 1093765604
  Medicare reassignment NPD
• Sweet Dreams Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Meridian, MS
  • NPI 1427667724

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Willow Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Oxford, MS
  • NPI 1205169521

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gastrointestinal Associates, P.a.

  • Gastroenterology Physician
  • Vicksburg, MS
  • NPI 1144412438
  NPD
• Gastrointestinal Associates, PA

  • Anesthesiology Physician
  • Flowood, MS
  • NPI 1326587304

  Nurse Anesthetist, Certified Registered

  NPD
• Eye and Aesthetic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • McComb, MS
  • NPI 1902957483
  NPD (past)
• Southwest Mississippi Eye Center

  • Ophthalmology Physician
  • McComb, MS
  • NPI 1346385762
  NPD (past)

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

• Baptist Medical Center-Leake Inc

  • Critical Access Hospital
  • Carthage, MS
  • NPI 1205112539
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1184710345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "PFS",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "PFS",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R576255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Vick Clark, M.D.
• Andrew Clark, PHARM D
• Brennan Naliyah Clark
• Brittany C Clark
• Donald Clark III, M.D.
• James M Clark, CFNP
• Jenna Elizabeth Clark, NP
• Kimberly Clark
• Marva Clark, LSW
• Pamela Dixon Clark, LCSW

• Certified Registered Nurse Anesthetist in Jackson, MS
• Providers in Jackson, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.