Jennifer Clark, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3600 Houma Blvd
Metairie, LA 70006-4230

Phone

(504) 233-0931

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

Yes

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 LA

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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crescent City Orthopedics LLCGroup PAC ID 4385823913, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Homecare, Inc. Home health agency, Metairie, LA, CCN 197558
• Omega Hospital, LLC Hospital, Metairie, LA, CCN 190302
• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Merit-based Incentive Payment System (MIPS)

Final score

66.53 of 100Reported as group

Quality

47.78

Improvement activities

40

Cost

58.05

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Crescent City Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Metairie, LA
  • NPI 1215238902
  Medicare reassignment Care Compare group
• A. Jay Binder, M.D., a Medical Corporation

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Metairie, LA
  • NPI 1578749875

  Single Specialty

  NPD (past)

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

• Family Homecare, Inc.

  • Home Health Agency
  • Metairie, LA
  • NPI 1871599571
  Care Compare affiliation
• Omega Hospital LLC

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1992720791
  Care Compare affiliation
• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454
  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527
  Care Compare affiliation
• University Healthcare System, L.C.

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825
  Care Compare affiliation

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1356056832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TUCKER AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211537",
            "telephone_number": "504-330-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064230",
            "telephone_number": "504-233-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryana Clark
• Caleb Clark, DMD
• Dialyah Clark
• Emily Catherine Clark
• Gelescia Clark
• Leslie B Clark, PT
• Marlee R Clark
• NA'Triana Clark
• Patricia Clark, RN
• R.L. Clark Jr.

• Physician Assistant in Metairie, LA
• Providers in Metairie, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.