Ronnie Mashette Clark, CRNP
NPI 1114762689ActiveIndividual· Family Medicine· Pocomoke City, MD
Family Medicine (CRNP) in Pocomoke City, Maryland, licensed in MD, with an NPI issued in June 2024. Enrolled in Medicare as practitioner - nurse practitioner. Otsuka America Pharmaceutical, Inc. was the largest of 3 companies reporting payments in 2025, $88.05 in all, mostly food and beverage.
Overview
| NPI | 1114762689 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Jun 27, 2024 |
| Last updated in NPPES | Jan 15, 2026 |
| Certified by provider | Jan 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | R203521 | MD |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | R203521 | MD |
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 - Nurse Practitioner (MD) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
- 2025$88.05 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $49.09 | 2 |
| Lundbeck LLC | $21.36 | 1 |
| Indivior Inc. | $17.60 | 1 |
What the 2025 payments were for
- Food and Beverage$88.05 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Pocomoke City
- 1538357595
- 1255150520
- 1124707849
- 1548220692