Tracy Ann Clark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2010035831 Issued in MO

Practice address

232 S Woods Mill Rd
Chesterfield, MO 63017-3417

Phone

(314) 205-6917

NPI assigned

Oct 22, 2010

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 MO, FL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• St Lukes Cataract & Laser Institute

  • Ophthalmology Physician
  • Tarpon Springs, FL
  • NPI 1154316628

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Premier Anesthesia LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1225073828

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Viking Anesthesia Services, LLC

  • Anesthesiology Physician
  • Creve Coeur, MO
  • NPI 1962809244
  Medicare reassignment NPD
• Comprehensive Anesthesia Care PC

  • Anesthesiology Physician
  • Chesterfield, MO
  • NPI 1215975156
  Medicare reassignment
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1942519657
  Medicare reassignment
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Miramar, FL
  • NPI 1235701400

  Nurse Anesthetist, Certified Registered

  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Safety Harbor, FL
  • NPI 1528630795
  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1760054019
  NPD

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1770883977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18630 BABLER MEADOWS DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630381174",
            "telephone_number": "952-818-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-205-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2010035831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S. Chun, PHARM.D.
• Svetha Chunduri, M.D.
• Clarity Home Health Care LLC
• Andrew Thomas Clark, PA
• David B Clark, PHD
• Clarkson Optometry Inc
• Clarkson Optometry Inc
• Clarkson Optometry Inc
• Clarkson Optometry Inc
• Clarkson Oral Surgery

• Certified Registered Nurse Anesthetist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.