JENNIFER M. CLARK R.N., FNP, PMHNP
NPI 1437335551
Nurse Practitioner in Santa Rosa, CA
NPI Status: Active since January 18, 2008
Contact Information
500 DOYLE PARK DR STE G04
SANTA ROSA, CA
ZIP 95405
Phone: (707) 303-8349
Fax: (707) 303-2694
- Individual
- Female
- Nurse Practitioner
- PECOS Enrolled
About JENNIFER CLARK
This page provides the complete NPI Profile along with additional information for Jennifer Clark, a provider established in Santa Rosa, California with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1437335551 assigned on January 2008. The practitioner's primary taxonomy code is 363L00000X with license number NP12069 (CA). The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1437335551
- Provider Name
- JENNIFER M. CLARK R.N., FNP, PMHNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 500 DOYLE PARK DR STE G04 SANTA ROSA, CA 95405
- Location Phone
- (707) 303-8349
- Location Fax
- (707) 303-2694
- Mailing Address
- 3114 CARVEL DR SANTA ROSA, CA 95405
- Mailing Phone
- (707) 757-3117
- Mailing Fax
- (707) 303-2694
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-18-2008
- Last Update Date
- 05-08-2025
- Code Navigator
A nurse practitioner (NP) like Jennifer Clark is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP12069
- License State
- CA
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 740722 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 193487901 | MEDICAID (05) | TX | |
| 8Y5099 | OTHER (01) | TX | BCBS |
| P00622287 | OTHER (01) | TX | RR MEDICARE |
Medicare Participation & PECOS Enrollment Status
Jennifer Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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.
Follow-up nursing facility visit per day, typically 15 minutes
Removal of skin and tissue, 20.0 sq cm or less
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 46 times for 24 patientsThis procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
This service was performed 25 times for 12 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95405 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.16
- Minimum New Patient Price $63.04
- Maximum New Patient Price $187.01
- Average New Patient Copayment $24.04
- Minimum New Patient Copayment $15.76
- Maximum New Patient Copayment $46.75
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $109.88
- Minimum Established Patient Price $21.02
- Maximum Established Patient Price $153.4
- Average Established Patient Copayment $27.47
- Minimum Established Patient Copayment $5.25
- Maximum Established Patient Copayment $38.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for JENNIFER M. CLARK R.N., FNP, PMHNP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 4 | 3 | 7 | 3 | 3 | 5 | 5 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 6 | 3 | 10 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 6 + 3 + 1 + 0 + 5 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1437335551 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639382070 | SANTA ROSA OB-GYN MEDICAL ASSOCIATES GROUP Organization | Obstetrics & Gynecology | 500 DOYLE PARK DR STE G04 SANTA ROSA, CA 95405 (707) 545-9536 |
| 1316162662 | MARK A COVEC Individual | Nurse Practitioner (Acute Care) | 500 DOYLE PARK DR STE G04 SANTA ROSA, CA 95405 (707) 573-8984 |
| 1942692025 | JEANNIE ZANETTI Individual | Nurse Practitioner | 500 DOYLE PARK DR STE G04 SANTA ROSA, CA 95405 (707) 573-8984 |
| 1487916045 | AUSTIN SUE M.D. Individual | Family Medicine (Hospice and Palliative Medicine) | 500 DOYLE PARK DR STE G04 SANTA ROSA, CA 95405 (707) 573-8984 |
| 1003256546 | RAJVEER SANGERA DO Individual | Internal Medicine (Interventional Cardiology) | 500 DOYLE PARK DR STE G04 SANTA ROSA, CA 95405 (707) 576-7100 |
| 1427343532 | PAMELA MAUR M.D. Individual | Internal Medicine (Cardiovascular Disease) | 500 DOYLE PARK DR STE G04 SANTA ROSA, CA 95405 (707) 576-7100 |
| 1063866572 | THONG NGUYEN D.O. Individual | Internal Medicine (Cardiovascular Disease) | 500 DOYLE PARK DR STE G04 SANTA ROSA, CA 95405 (707) 576-7100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437335551, enumerated in the NPI registry as an "individual" on January 18, 2008
The provider is located at 500 Doyle Park Dr Ste G04 Santa Rosa, Ca 95405 and the phone number is (707) 303-8349
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $96.16 with an average copayment of $24.04 for new patient appointments. Established patients should expect a typical charge of $109.88 and an average copayment of 27.47. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 15 minutes and Removal of skin and tissue, 20.0 sq cm or less.
This NPI record was last updated on January 18, 2008. 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.