Jane D Clark, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10001703A Issued in IN

Practice address

100 Hospital LN Ste 300
Danville, IN 46122-2000

Phone

(317) 451-4639

Fax

(317) 718-2476

NPI assigned

Jul 29, 2014

Last updated

Mar 31, 2021By the provider in NPPES

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

Other names 1

• Jane K Dixon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendricks Regional Health Hospital, Danville, IN, CCN 150005

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jclark231527@direct-prd.stelizabeth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hendricks County Hospital

  dba HRH Associate Health

  • General Practice Physician
  • Danville, IN
  • NPI 1497536163
  Medicare reassignment Care Compare group
• Hendricks County Hospital

  dba Orthopedics & Sports Medicine of Indiana

  • Sports Medicine (Family Medicine) Physician
  • Avon, IN
  • NPI 1356438709
  NPD
• Hendricks County Hospital

  dba Hendricks Pediatrics of Brownsburg

  • Pediatrics Physician
  • Brownsburg, IN
  • NPI 1508758210
  NPD
• Hendricks County Hospital

  dba Stafford Pointe Family Physicians

  • Family Medicine Physician
  • Plainfield, IN
  • NPI 1104927557
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendricks County Hospital

  • General Acute Care Hospital
  • Danville, IN
  • NPI 1669475950
  Care Compare affiliation

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1841608221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL LN STE 300",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461222000",
            "telephone_number": "317-451-4639",
            "fax_number": "317-718-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL LN STE 300",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461222000",
            "telephone_number": "317-451-4639",
            "fax_number": "317-718-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JANE",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001703A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jclark231527@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "100 Hospital Ln Ste 300",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461222000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "DIXON",
            "middle_name": "K",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Center Civil Township Hendricks Cou (Center Township/Danville Ambulance Service)
• Center for Sleep & Wake Disorders (Midwest Neurology)
• Jasmine Yukiko Chau, D.C.
• Sumit Rishi Chawla, M.D.
• Bonnie Kathleen Clark, PT, DPT
• Teresa G Clark
• Anne Elizabeth Class, OTR
• Jonathon Scott Cline, MD
• Olivia Grace Cody, PA
• Erin Coffman, PHARMD

• Physician Assistant in Danville, IN
• Providers in Danville, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.