Individual provider Active NPI

Melissa Clark

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1710557871
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0020839 Issued in OH
Practice address
410 W 10TH Ave FL 1
Columbus, OH 43210-1240
Phone
(614) 293-8487
Fax
(614) 293-8153
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.372889 OH
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.0020839 OH Primary

Addresses

Primary practice location

410 W 10TH Ave FL 1
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8487

Other practice location 1

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (000) 000-0000

Other practice location 2

158 W Main Rd
Conneaut, OH 44030-2039
Phone (000) 000-0000

Other practice location 3

870 W Main St
Geneva, OH 44041-1219
Phone (000) 000-0000

Other practice location 4

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (000) 000-0000

Other practice location 5

6847 N Chestnut St # 44266
Ravenna, OH 44266-3929
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221228002244 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082084546 Reassigns benefits to 6 organizations
I20250606002857 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082084546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
Safe Anesthesia Geneva LLCGroup PAC ID 4385771997, 34 clinicians

Practice addresses (Care Compare)

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (216) 383-0100

13207 Ravenna Rd H
Chardon, OH 44024-7032
Phone (216) 383-0100

158 W Main Rd
Conneaut, OH 44030-2039

815 Freeport Rd
Pittsburgh, PA 15215-3301
Phone (412) 383-3200

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.372889OHMDRegistered Nurse
APRN.CRNA.0020839OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 7, 2025 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 23, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 7, 2025 Accepting new patients
Safe Anesthesia Chardon LLC Nurse Anesthetist, Certified Registered CurrentSince May 13, 2024 Accepting new patients
Bel-Park Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 19, 2023 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 19, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Jul 1, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 19, 2023 Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Interoperability endpoints

  • Direct secure messaging: mclark292322@ehrdirect.uhhospitals.org

Organizations & group practices 11

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 8

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1710557871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8487",
            "fax_number": "614-293-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE FL 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-8487",
            "fax_number": "614-293-8153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13207 Ravenna Rd",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440247032",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 W Main Rd",
            "address_purpose": "LOCATION",
            "city": "Conneaut",
            "state": "OH",
            "postal_code": "440302039",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 W Main St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "OH",
            "postal_code": "440411219",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3999 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441226046",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6847 N Chestnut St # 44266",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442663929",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.372889",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0020839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.