Jeanann Clark, PHYSICIAN ASSISTANT
NPI 1073607800 · Medical Physician Assistant · New York, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeanann Clark, PHYSICIAN ASSISTANT is a Medical Physician Assistant provider in New York, NY (NPI 1073607800).
Provider details
- NPI number
- 1073607800
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 008259 (NY)
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 tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Frequently asked questions
- What is Jeanann Clark's NPI number?
- Jeanann Clark's National Provider Identifier (NPI) is 1073607800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeanann Clark's specialty?
- Jeanann Clark is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeanann Clark located?
- Jeanann Clark's practice location on file with NPPES is 525 E 68th St, New York, NY 10021-4870.
- What is Jeanann Clark's phone number?
- The practice phone number listed in the NPPES registry for Jeanann Clark is (212) 746-2059.
- Does Jeanann Clark accept Medicare?
- Jeanann Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeanann Clark's NPI active?
- Yes — Jeanann Clark's NPI (1073607800) is active in the NPPES registry as of the last update on 2023-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.