Hilary E Clark, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.0001492 Issued in CO

Practice address

191 Telluride St Unit 5
Brighton, CO 80601-4356

Phone

(033) 396-5923

Fax

(033) 957-5414

NPI assigned

Dec 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Sleep ServicesGroup PAC ID 5890096929, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Professional Sleep Services

  • Sleep Medicine (Internal Medicine) Physician
  • Brighton, CO
  • NPI 1184097636
  Medicare reassignment Care Compare group
• Boulder Community Health

  • Medical Specialty Clinic/Center
  • Boulder, CO
  • NPI 1407685498
  NPD (past)
• Professional Sleep Services

  • Sleep Medicine (Internal Medicine) Physician
  • Broomfield, CO
  • NPI 1992208508
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1962487587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 TELLURIDE ST UNIT 5",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014356",
            "telephone_number": "303-396-5923",
            "fax_number": "303-957-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 TELLURIDE ST UNIT 5",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014356",
            "telephone_number": "033-396-5923",
            "fax_number": "033-957-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HILARY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001492",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0001492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Chavez, FNP
• Mariela Chavira, AUD
• Children'S Hospital Colorado-Premier Pediatrics, Inc.
• Ming-Lee Chow, PT, DPT
• Shondra Cizek
• Laura E Clark, PA-C
• Vanessa Ruchelle Lucero Clay, MA, LPC
• John Gregory Clayton, PT, DPT
• April Clements, PTA
• Colin P Clifton, PTA, LMT

• Medical Physician Assistant in Brighton, CO
• Providers in Brighton, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.