Jennifer Alexandria Clark
NPI 1023315231ActiveIndividual· Nurse Anesthetist, Certified Registered· San Rafael, CA
Nurse Anesthetist, Certified Registered with Permanente Medical Group Inc and 1 other group, practicing in San Rafael, California. Medicare paid $10,800 for services to 81 patients in 2024. Lists Kaiser Foundation Hospital-Santa Rosa as a hospital affiliation.
Overview
| NPI | 1023315231 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 24, 2011 |
| Last updated in NPPES | Jan 11, 2022 |
| Certified by provider | Jan 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 086522 | CA |
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 - Certified Registered Nurse Anesthetist (CRNA) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 81 across 17 procedure codes |
| Paid by Medicare | $10,800 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
- Anesthesia and Analgesia Medical Group IncSanta Rosa, CA · 73 clinicians
Hospital affiliation
- Kaiser Foundation Hospital-Santa RosaSanta Rosa, CA
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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