Dylan Clark, STUDENT
NPI 1104530930 · Certified Registered Nurse Anesthetist · Boston, MA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dylan Clark, STUDENT is a Certified Registered Nurse Anesthetist provider in Boston, MA (NPI 1104530930).
Provider details
- NPI number
- 1104530930
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- STUDENT
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN2287470 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 140 Commonwealth AveChestnut Hill, MA 02467-3858Phone: (617) 552-2756
Registry dates
- Enumerated
- 2023-01-06
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Dylan Clark's NPI number?
- Dylan Clark's National Provider Identifier (NPI) is 1104530930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dylan Clark's specialty?
- Dylan Clark is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dylan Clark located?
- Dylan Clark's practice location on file with NPPES is 1 Boston Medical Center Place, Boston, MA 02118.
- What is Dylan Clark's phone number?
- The practice phone number listed in the NPPES registry for Dylan Clark is (617) 638-6950.
- Does Dylan Clark accept Medicare?
- Dylan Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dylan Clark's NPI active?
- Yes — Dylan Clark's NPI (1104530930) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.