Stacey Clark, PA
NPI 1710968763 · Physician Assistant · Penacook, NH
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Clark, PA is a Physician Assistant provider in Penacook, NH (NPI 1710968763).
Provider details
- NPI number
- 1710968763
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 2511 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
20 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
394 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 210 | $81 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 72 | $109 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 61 | $55 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 22 | $121 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 17 | $14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 61 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lisinopril | 144 | 31 |
| Atorvastatin Calcium | 122 | 30 |
| Levothyroxine Sodium | 84 | 21 |
| Losartan Potassium | 76 | 19 |
| Rosuvastatin Calcium | 63 | 23 |
| Metformin Hcl | 54 | 12 |
| Metoprolol Succinate |
Practice location
Mailing address
Additional practice locations (1)
- 1 Elliot WayMerrimack Emergency PhysiciansManchester, NH 03103Phone: (603) 663-2830Fax: (603) 663-1849
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Frequently asked questions
- What is Stacey Clark's NPI number?
- Stacey Clark's National Provider Identifier (NPI) is 1710968763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Clark's specialty?
- Stacey Clark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacey Clark located?
- Stacey Clark's practice location on file with NPPES is 4 Crescent St., Penacook, NH 03303-1412.
- What is Stacey Clark's phone number?
- The practice phone number listed in the NPPES registry for Stacey Clark is (603) 753-4302.
- Does Stacey Clark accept Medicare?
- Stacey Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Clark's NPI active?
- Yes — Stacey Clark's NPI (1710968763) is active in the NPPES registry as of the last update on 2022-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.