Active NPI
Ashley Ellen Clark, C.N.P.
- Acute Care Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1215278320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 319301
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 319301 | AZ | MD | Acute Care Nurse Practitioner |
| RN228776 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Wellness, LLC | Current | 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.
-
- Medical Specialty Clinic/Center
- Tucson, AZ
- NPI 1528951290
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.