MS. VICKI E CLARK NP
NPI 1609878800
Nurse Practitioner - Obstetrics & Gynecology in Lumberton, NC
NPI Status: Active since June 01, 2005
Contact Information
460 COUNTRY CLUB RD
LUMBERTON, NC
ZIP 28360
Phone: (910) 671-3200
Fax: (910) 671-3484
- Individual
- Female
- Nurse Practitioner
- Obstetrics & Gynecology
- Accepts Insurance
- PECOS Enrolled
About VICKI CLARK
This page provides the complete NPI Profile along with additional information for Vicki Clark, a provider established in Lumberton, North Carolina with a medical specialization in Nurse Practitioner, focusing in obstetrics & gynecology . The healthcare provider is registered in the NPI registry with number 1609878800 assigned on June 2005. The practitioner's primary taxonomy code is 363LX0001X with license number 940105 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1609878800
- Provider Name
- MS. VICKI E CLARK NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 460 COUNTRY CLUB RD LUMBERTON, NC 28360
- Location Phone
- (910) 671-3200
- Location Fax
- (910) 671-3484
- Mailing Address
- 460 COUNTRY CLUB RD LUMBERTON, NC 28360
- Mailing Phone
- (910) 671-3200
- Mailing Fax
- (910) 671-3484
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-01-2005
- Last Update Date
- 01-14-2025
- Code Navigator
A nurse practitioner (NP) like Vicki 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 Obstetrics & Gynecology
- Taxonomy Code
- 363LX0001X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 940105
- License State
- NC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Gold Standard | Limited Statewide Doctors - POS
- Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Silver Standard | Limited Statewide Doctors - POS
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
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 |
|---|---|---|---|
| 1609878800 | MEDICAID (05) | NC |
Medicare Participation & PECOS Enrollment Status
Vicki 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician 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 28360 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* 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.
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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 | 6 | 0 | 9 | 8 | 7 | 8 | 8 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 16 | 7 | 16 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 6 + 7 + 1 + 6 + 8 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1609878800 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1871787705 | MRS. MONICA MCVICKER R.D. Individual | Dietitian, Registered | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3274 |
| 1144415563 | JOSEPHINE EMUNAH MS, RD Individual | Dietitian, Registered | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3270 |
| 1659553634 | DEENA JOANNE LOCKLEAR R.D. Individual | Dietitian, Registered | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3272 |
| 1134150485 | MRS. AMANDA L.. CUMMINGS LCSW Individual | Social Worker (Clinical) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3453 |
| 1245233303 | DR. ROBERT RHEA EARNEST M.D. Individual | Pediatrics (Adolescent Medicine) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 608-2100 |
| 1871769372 | DR. MARY BULLARD CUMMINGS Individual | Dentist | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 608-2115 |
| 1508902867 | MICHELLE RISING COX CNM Individual | Advanced Practice Midwife | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1598445629 | TASMON KEYON SMITH LCSWA Individual | Social Worker (Clinical) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1548762727 | MRS. LINDSAY MICHELLE HENDERSON FNP-C Individual | Nurse Practitioner (Family) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1053396101 | KRISTIE COLLINS MARTIN PA-C Individual | Physician Assistant | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1417924820 | COUNTY OF ROBESON OFFICE OF TREASURER Organization | Home Health | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3236 |
| 1669697108 | COUNTY OF ROBESON OFFICE OF TREASURER Organization | Clinic/Center (Primary Care) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 608-2100 |
| 1801037262 | COUNTY OF ROBESON OFFICE OF TREASURER Organization | Clinic/Center (Primary Care) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1881970598 | COUNTY OF ROBESON OFFICE OF TREASURER Organization | Nutritionist | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1922177286 | COUNTY OF ROBESON OFFICE OF TREASURER Organization | Case Management | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1932287182 | COUNTY OF ROBESON OFFICE OF TREASURER Organization | Clinic/Center (Public Health, State or Local) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1457425837 | COUNTY OF ROBESON OFFICE OF TREASURER Organization | Community/Behavioral Health | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1487010401 | CHIARA LYNN CARTER PA-C Individual | Physician Assistant | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1811452246 | STEPHANIE BRITT Individual | Nurse Practitioner (Family) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
| 1316420722 | KAREN LYNN WARWICK FNP-BC Individual | Nurse Practitioner (Family) | 460 COUNTRY CLUB RD LUMBERTON, NC 28360 (910) 671-3200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609878800, enumerated in the NPI registry as an "individual" on June 01, 2005
The provider is located at 460 Country Club Rd Lumberton, Nc 28360 and the phone number is (910) 671-3200
The provider's speciality is Nurse Practitioner with taxonomy code 363LX0001X with a focus in Obstetrics & Gynecology
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 01, 2005. 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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