MRS. NANCY ELLEN CLARK MBA, OT/L
NPI 1225334964
Occupational Therapist in Butte, MT
NPI Status: Active since January 27, 2011
- Individual
- Female
- Years of Experience 34
- Occupational Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About NANCY CLARK
This page provides the complete NPI Profile along with additional information for Nancy Clark, a provider established in Butte, Montana with a medical specialization in Occupational Therapist and more than 34 years of experience. She graduated from University Of North Dakota School Of Medicine in 1992. The healthcare provider is registered in the NPI registry with number 1225334964 assigned on January 2011. The practitioner's primary taxonomy code is 225X00000X with license number 297 (MT). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1225334964
- Provider Name
- MRS. NANCY ELLEN CLARK MBA, OT/L
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3080 HECLA ST BUTTE, MT 59701
- Location Phone
- (406) 491-4157
- Mailing Address
- 3080 HECLA ST BUTTE, MT 59701
- Mailing Phone
- (406) 491-4157
- Medical School Name
- UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
- Graduation Year
- 1992
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-27-2011
- Last Update Date
- 01-27-2011
- Code Navigator
Location Map
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
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 297
- License State
- MT
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? 901 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nancy Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6800212077
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200820003701
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Evaluation for occupational therapy, typically 45 minutes
Evaluation for wheelchair, each 15 minutes
An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
This service was performed 107 times for 78 patientsThis procedure involves assessing your physical needs and capabilities to determine the most suitable wheelchair for you. It takes into account your comfort, mobility, and lifestyle requirements. Each session lasts 15 minutes.
This service was performed 392 times for 68 patientsReviews for MRS. NANCY ELLEN CLARK MBA, OT/L
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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 | 2 | 2 | 5 | 3 | 3 | 4 | 9 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 6 | 3 | 8 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 6 + 3 + 8 + 9 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1225334964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225334964, enumerated in the NPI registry as an "individual" on January 27, 2011
The provider is located at 3080 Hecla St Butte, Mt 59701 and the phone number is (406) 491-4157
The provider's speciality is Occupational Therapist with taxonomy code 225X00000X
The provider has more than 34 years of experience. She graduated from University Of North Dakota School Of Medicine in 1992.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Evaluation for occupational therapy, typically 45 minutes and Evaluation for wheelchair, each 15 minutes.
This NPI record was last updated on January 27, 2011. 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].
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