Marcia R Clark, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

112645 Issued in WV

Practice address

240 Allegheny Hwy
Elkins, WV 26241-5749

Phone

(304) 636-0133

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

No

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 WV

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

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marcia.clark.1@7274.direct.athenahealth.com

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.

• Valley Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Mill Creek, WV
  • NPI 1801861083
  Medicare reassignment NPD
• Valley Health Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Beverly, WV
  • NPI 1073244810
  NPD
• Valley Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Elkins, WV
  • NPI 1710270954
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1457069882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY HWY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262415749",
            "telephone_number": "304-636-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY HWY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262415749",
            "telephone_number": "304-636-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Town Center Plz Ste A",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WV",
            "postal_code": "262809752",
            "country_code": "US",
            "telephone_number": "304-335-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARCIA",
        "middle_name": "R",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "112645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip J. Chua, D.O.
• Clark Physical Therapy Services, LLC
• Darlene Kim Clark, P.T.
• Erica Clark, MS
• Eva Jean Clark
• Christopher Clarkson
• Laylie Clary
• Maya Ann Clary
• Ann Marie Claypool
• Skylar Elizabeth Shanafelt Claypool

• Psychiatric/Mental Health Nurse Practitioner in Elkins, WV
• Providers in Elkins, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.