Katherine Rose Clark, PA-C
NPI 1003683509ActiveIndividual· Physician Assistant· Crystal, MN
Physician Assistant (PA-C) in Crystal, Minnesota, trained at Touro Un Col of Osteopathic Medicine, Henderson (class of 2023). Their prescriptions cost Medicare Part D more than their services did: $15,950 for 434 claims, against $8,907 paid for services in 2024.
Overview
| NPI | 1003683509 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 5, 2023 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14744 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 203 across 48 procedure codes |
| Paid by Medicare | $8,907 |
Part D prescriptions in 2024
| Prescriptions (claims) | 434 · 662 30-day fills |
|---|---|
| Patients | 193 |
| Total drug cost | $15,950 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Touro Un Col of Osteopathic Medicine, Henderson |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical group
- North Clinic PAOsseo, MN · 50 clinicians
Hospital affiliation
- North Memorial Health HospitalRobbinsdale, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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