NICHOLAS LEE CLARK PA
NPI 1063148708
Physician Assistant in Lexington, KY
NPI Status: Active since July 26, 2022
Contact Information
1000 S LIMESTONE
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-9057
Fax: (859) 323-9502
- Individual
- Male
- Physician Assistant
- Accepts Insurance
About NICHOLAS CLARK
This page provides the complete NPI Profile along with additional information for Nicholas Clark, a primary care provider established in Lexington, Kentucky with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1063148708 assigned on July 2022. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated May 2025.
- NPI
- 1063148708
- Provider Name
- NICHOLAS LEE CLARK PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1000 S LIMESTONE LEXINGTON, KY 40536
- Location Phone
- (859) 323-9057
- Location Fax
- (859) 323-9502
- Mailing Address
- 2854 NE HICKORY RIDGE AVE JENSEN BEACH, FL 34957
- Mailing Phone
- (937) 515-3043
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2022
- Last Update Date
- 05-22-2025
- Code Navigator
A primary care provider (PCP) like Nicholas Clark sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 200 SE Hospital Ave
Stuart, FL 34994
(772) 287-5200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 1 | 4 | 8 | 7 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 2 | 4 | 16 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 2 + 4 + 1 + 6 + 7 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1063148708 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649257999 | JAMIE GARDNER PHARM D Individual | Pharmacist | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 218-3350 |
| 1669855433 | DR. EMILY BOOTS PHARMD Individual | Pharmacist | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 218-0001 |
| 1902289770 | MR. ROBERT MCCOWAN PHARMD Individual | Pharmacist | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 218-0006 |
| 1811439805 | MICHELE ILER Individual | Pharmacist | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 218-3340 |
| 1316489362 | DR. STEPHANIE ROBERTS PHARMD Individual | Pharmacist (Ambulatory Care) | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 218-3340 |
| 1902349855 | DEBORAH ANN MYNHEER Individual | Pharmacist | 1000 S LIMESTONE A01-114 LEXINGTON, KY 40536 (859) 218-3340 |
| 1134636954 | DR. DANIELLE BURCH DPT Individual | Physical Therapist (Neurology) | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5842 |
| 1710466461 | ZACHARY SCHWAB OTR/L Individual | Occupational Therapist | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5841 |
| 1063981231 | CELENA MARIE CONDON APRN Individual | Nurse Practitioner (Family) | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5901 |
| 1942838750 | MARK WOLF PHARMD Individual | Student in an Organized Health Care Education/Training Program | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 257-1000 |
| 1548880677 | KIRA LITRAS GALLOWAY RD, LD Individual | Dietitian, Registered | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 257-1000 |
| 1073587051 | PATTI JO BOWMAN PA-C Individual | Physician Assistant | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5908 |
| 1083145569 | PATRICK GRACE MD Individual | Emergency Medicine | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5901 |
| 1801460431 | DR. CHARLES STEPHEN DAVIS PHARMD Individual | Pharmacist (Ambulatory Care) | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 257-1000 |
| 1649775404 | DIANA VICTORIA LABRADA MD Individual | Emergency Medicine | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5901 |
| 1528471802 | MR. GEOFFREY PATRICK MCGOWEN MSN, FNP, ENP, CEN Individual | Nurse Practitioner (Family) | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5901 |
| 1730684713 | ANGELO ANTONIO CRUZ MD Individual | Emergency Medicine | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5901 |
| 1194394460 | KISHAN MAHENDRA PATEL PA Individual | Physician Assistant | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5000 |
| 1649849811 | MARIA ELIZABETH AULICK PA-C Individual | Physician Assistant | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5901 |
| 1881649184 | DR. TROY CHRISTIAN ROCK M.D. Individual | Emergency Medicine | 1000 S LIMESTONE LEXINGTON, KY 40536 (859) 323-5901 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063148708, enumerated in the NPI registry as an "individual" on July 26, 2022
The provider is located at 1000 S Limestone Lexington, Ky 40536 and the phone number is (859) 323-9057
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 26, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.