Active NPI
Sheena Lou Clark
- Nurse Practitioner
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11020226
- Practice address
- 1411 N Flagler Dr Ste 5600
West Palm Beach, FL 33401-3412 - Phone
- (561) 659-6543
- Fax
- (561) 659-3533
- NPI assigned
- Nov 3, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53040 | NM | |
| Nurse Practitioner | 363L00000X | AP135449 | TX | |
| Nurse Practitioner | 363L00000X | 11020226 | FL | Primary |
| Nurse Practitioner | 363L00000X | 5022939 | NC |
Addresses
Primary practice location
1411 N Flagler Dr Ste 5600
West Palm Beach, FL 33401-3412
Mailing address
1411 N Flagler Dr Ste 5600
West Palm Beach, FL 33401-3412
Phone (561) 659-6543
Other practice location 1
3401 Pga Blvd Ste 500
Palm Beach Gardens, FL 33410-2825
Phone (561) 659-6543
Other practice location 2
1520 Physicians Dr
Wilmington, NC 28401-7356
Phone (910) 662-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 Physicians Dr
Wilmington, NC 28401-7356
Phone (910) 662-8300
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11020226 | FL | MD | Nurse Practitioner |
| 5022939 | NC | MD | Nurse Practitioner |
| 53040 | NM | MD | Nurse Practitioner |
| AP135449 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Provider Network Inc | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Provider Network Inc | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| New Hanover Medical Group PA | Past | Accepting new patients | |
| Tampa General Provider Network Inc | Past | Accepting new patients |
Locations
3401 Pga Blvd
Ste 500
West Palm Bch, FL 33410
Phone (561) 659-6543
1201 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 621-0012
2001 N Flagler Dr
West Palm Beach, FL 33407
Phone (561) 659-6543
1411 N Flagler Dr
Ste 5600
West Palm Beach, FL 33401
Phone (561) 659-6543
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
1520 Physicians Dr
Wilmington, NC 28401
Phone (910) 662-8300
Networks
- Freedom Health HMO Network
Interoperability endpoints
- sclark282073@direct.tgh.org
- sclark27551@jupitermedicalcenter.direct-ci.com
- sclark1750746@direct.novanthealth.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Surgery Physician
- Palm Springs, FL
- NPI 1538742317
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tampa, FL
- NPI 1194493239
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Gastroenterology Physician
- Wilmington, NC
- NPI 1174109474
-
- Gastroenterology Physician
- Palm Beach Gardens, FL
- NPI 1194463737
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1407368137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR STE 5600",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013412",
"telephone_number": "561-659-6543",
"fax_number": "561-659-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR STE 5600",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013412",
"telephone_number": "561-659-6543",
"fax_number": "561-659-3533"
}
],
"practiceLocations": [
{
"address_1": "3401 Pga Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334102825",
"country_code": "US",
"telephone_number": "561-659-6543",
"fax_number": "561-659-3533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1520 Physicians Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017356",
"country_code": "US",
"telephone_number": "910-662-8300",
"fax_number": "910-662-8361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "SHEENA",
"middle_name": "LOU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "53040",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP135449",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11020226",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5022939",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.