Katherine Clark, PA-C
NPI 1003683509 · Physician Assistant · Crystal, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katherine Clark, PA-C is a Physician Assistant provider in Crystal, MN (NPI 1003683509).
Provider details
- NPI number
- 1003683509
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 14744 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
91 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 73 | $75 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 18 | $106 |
Typical Medicare-allowed amounts for these services range $75–$106 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 27 | 20 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 25 | 24 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 18 |
| Prednisone | 13 | 12 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 13 | 12 |
| Lisinopril | 12 | — |
Practice location
Mailing address
Additional practice locations (1)
- 9825 Hospital Dr Ste 300Maple Grove, MN 55369-4768Phone: (763) 587-7999
Registry dates
- Enumerated
- 2023-12-05
- Last updated
- 2025-03-31
- Certified
- 2025-03-26
Frequently asked questions
- What is Katherine Clark's NPI number?
- Katherine Clark's National Provider Identifier (NPI) is 1003683509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katherine Clark's specialty?
- Katherine Clark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katherine Clark located?
- Katherine Clark's practice location on file with NPPES is 5109 36th Ave N, Crystal, MN 55422.
- What is Katherine Clark's phone number?
- The practice phone number listed in the NPPES registry for Katherine Clark is (763) 587-7999.
- Does Katherine Clark accept Medicare?
- Katherine Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katherine Clark's NPI active?
- Yes — Katherine Clark's NPI (1003683509) is active in the NPPES registry as of the last update on 2025-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.