Brian Kelly Clark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024165065 Issued in VA

Practice address

501 Medical Dr
Hampton, VA 23666-6080

Phone

(703) 295-9360

Fax

(703) 295-9369

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NC, NY3 enrollments

Enrollment records 3

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

82.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455

  NY

  Medicare reassignment NPD
• Geneva General Hospital, Inc

  • Emergency Medicine Physician
  • Geneva, NY
  • NPI 1487797080

  NY

  Medicare reassignment NPD
• Guthrie Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Corning, NY
  • NPI 1134178635

  NY

  Medicare reassignment NPD
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Athens, PA
  • NPI 1962451153

  PA

  Medicare reassignment NPD
• Hazleton Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Hazleton, PA
  • NPI 1073841698

  PA

  Medicare reassignment NPD
• Lehigh Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Allentown, PA
  • NPI 1508842246

  PA

  Medicare reassignment NPD
• Nash Hospitals Inc

  • Certified Registered Nurse Anesthetist
  • Rocky Mount, NC
  • NPI 1003881822

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North American Partners in Anesthesia, Pennsylvania , LLC

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1639137854

  Nurse Anesthetist, Certified Registered, PA

  Medicare reassignment NPD
• Syracuse Gastroenterological Associates.PC

  • Gastroenterology Physician
  • East Syracuse, NY
  • NPI 1619947843

  NY

  Medicare reassignment NPD
• Upstate Medical Anesthesiology Group, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1851485759

  NY

  Medicare reassignment NPD
• Bethlehem Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bethlehem, PA
  • NPI 1467691014
  NPD
• Geneva General Hospital Inc

  • Anesthesiology Physician
  • Geneva, NY
  • NPI 1578748364
  NPD

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1821059403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37090",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973090",
            "telephone_number": "703-295-9360",
            "fax_number": "703-295-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666080",
            "telephone_number": "703-295-9360",
            "fax_number": "703-295-9369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 St Paul Drive",
            "address_2": "WellSpan Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-217-6072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 North 7th Street",
            "address_2": "WellSpan Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-267-7164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 5th Ave",
            "address_2": "WellSpan Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-217-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 East Main Street",
            "address_2": "WellSpan Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "17268",
            "country_code": "US",
            "telephone_number": "717-765-3425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRIAN",
        "middle_name": "KELLY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024165065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010170699",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Carol Clamann, OT
• Kimberly Rena Clanton, LPN
• Laura Clarey
• Nicole Therese Clark-Ramirez, MS
• Beatrice Clark
• Deborah A. Clark, LPC
• Joann Clark, D.D.S.
• Mark W Clark X, MD
• Paul Edward Clark, LCSW
• Ronnie L Clark, LCSW

• All providers in Hampton, VA
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.