Individual provider Active NPI

Natalie Marie Tucci-Clark, PA-C

  • Physician Assistant
  • Winchester, VA
National Provider Identifier
1811700727
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
158 Front Royal Pike Ste 206
Winchester, VA 22602-4324
Phone
(667) 220-0170
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

158 Front Royal Pike Ste 206
Winchester, VA 22602-4324

Mailing address

2331 York Rd Ste 100
Timonium, MD 21093-2246
Phone (410) 823-6408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20250618003051 DC Practitioner - Physician Assistant 2668983313 Reassigns benefits to 1 organization
I20250707001200 VA Practitioner - Physician Assistant 2668983313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (703) 812-4642

7702 E Parham Rd
Suite 102
Richmond, VA 23294-4366
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.natalietucci-clark@131200.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1811700727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 YORK RD STE 100",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932246",
            "telephone_number": "410-823-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 FRONT ROYAL PIKE STE 206",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024324",
            "telephone_number": "667-220-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCI-CLARK",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.