Individual provider Active NPI

Sheena Lou Clark

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1407368137
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11020226 Issued in FL
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

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240205003393 FL Practitioner - Nurse Practitioner 7315206232 Reassigns benefits to 1 organization
I20251023001716 NC Practitioner - Nurse Practitioner 7315206232 Reassigns benefits to 1 organization

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
Novant Health Medical Group Coastal Region LLCGroup PAC ID 2860809936, 577 clinicians

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 Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020226FLMDNurse Practitioner
5022939NCMDNurse Practitioner
53040NMMDNurse Practitioner
AP135449TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Provider Network Inc CurrentSince Feb 1, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Oct 15, 2025 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 CurrentSince Feb 1, 2024 Accepting new patients
NMG Health Services LLC CurrentSince Oct 15, 2025 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

  • Direct secure messaging: sclark282073@direct.tgh.org
  • Direct secure messaging: sclark27551@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: sclark1750746@direct.novanthealth.org
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.