Individual provider Active NPI

Ashley Ellen Clark, C.N.P.

  • Acute Care Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1215278320
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
319301 Issued in AZ
Practice address
5601 N Oracle Rd Ste 121
Tucson, AZ 85704-3982
Phone
(520) 526-1258
Fax
(520) 526-1258
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 319301 AZ Primary
Acute Care Nurse Practitioner 363LA2100X RN228776 GA

Addresses

Primary practice location

5601 N Oracle Rd Ste 121
Tucson, AZ 85704-3982

Mailing address

8193 N Stonehill Dr
Tucson, AZ 85743-1437
Phone (334) 538-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20260511003351 AZ Practitioner - Nurse Practitioner 9638316011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Franklin, TN 37068

PO Box
Suite 680060
Franklin, TN 37068-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
319301AZMDAcute Care Nurse Practitioner
RN228776GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Wellness, LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

5601 N Oracle Rd
Ste 121
Tucson, AZ 85704
Phone (520) 526-1258

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1215278320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8193 N STONEHILL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857431437",
            "telephone_number": "334-538-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N ORACLE RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043982",
            "telephone_number": "520-526-1258",
            "fax_number": "520-526-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ASHLEY",
        "middle_name": "ELLEN",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "319301",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN228776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.