Elizabeth F. Clark, MSC, PA-C
NPI 1053867853ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant (MSC, PA-C) in Appleton, Wisconsin, trained at Boston University School of Medicine (class of 2016). Mostly services rather than prescriptions: Medicare paid $1,343 for 13 patients in 2024, with only 16 Part D claims.
Overview
| NPI | 1053867853 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSC, PA-C |
| Sole proprietor | No |
| NPI issued | Aug 31, 2016 |
| Last updated in NPPES | Oct 6, 2025 |
| Certified by provider | Oct 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3925-23 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 19 across 6 procedure codes |
| Paid by Medicare | $1,343 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 16 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $151.86 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Physician Assistant |
Medical group
- St Vincent Hospital-Hospital Sisters-Third Order of St FrancisGreen Bay, WI · 603 clinicians
Hospital affiliation
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
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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