Shanta Clark, P.A.-C
NPI 1790169688 · Physician Assistant · Dowagiac, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanta Clark, P.A.-C is a Physician Assistant provider in Dowagiac, MI (NPI 1790169688).
Provider details
- NPI number
- 1790169688
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601007413 (MI)
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
10 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Cyclobenzaprine Hcl | 20 |
| Semaglutidebrand: Ozempic | 15 |
| Pregabalin | 14 |
| Losartan Potassium | 11 |
| Meloxicam | 11 |
| Promethazine Hcl | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-10
- Last updated
- 2015-07-10
Frequently asked questions
- What is Shanta Clark's NPI number?
- Shanta Clark's National Provider Identifier (NPI) is 1790169688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanta Clark's specialty?
- Shanta Clark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shanta Clark located?
- Shanta Clark's practice location on file with NPPES is 58620 Sink Rd, Dowagiac, MI 49047-9329.
- What is Shanta Clark's phone number?
- The practice phone number listed in the NPPES registry for Shanta Clark is (269) 782-4141.
- Does Shanta Clark accept Medicare?
- Shanta Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shanta Clark's NPI active?
- Yes — Shanta Clark's NPI (1790169688) is active in the NPPES registry as of the last update on 2015-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.