Individual provider Active NPI

Austin William Clark, DNP, APRN-NP

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1336872464
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114267 Issued in NE
Practice address
8901 W Dodge Rd Ste 250
Omaha, NE 68114-3300
Phone
(402) 354-2000
Fax
(402) 354-8645
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114267 NE Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 114267 NE

Addresses

Primary practice location

8901 W Dodge Rd Ste 250
Omaha, NE 68114-3300

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other practice location 1

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone (402) 559-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220829000415 NE Practitioner - Nurse Practitioner 5496139297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

8901 W Dodge Rd
250 MPC Geriatric Assessment Clinic
Omaha, NE 68114-3300
Phone (402) 354-3152

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114267NEMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jul 28, 2022 Accepting new patients
Physicians Clinic Inc Nurse Practitioner CurrentSince Jun 30, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients

Locations

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

8901 W Dodge Rd
Ste 250
Omaha, NE 68114
Phone (402) 343-8780

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1336872464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W DODGE RD STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143300",
            "telephone_number": "402-354-2000",
            "fax_number": "402-354-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "988102 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681988102",
            "country_code": "US",
            "telephone_number": "402-559-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AUSTIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114267",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NE",
            "license": "114267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.