Crystal Marie Clark, PA-C
NPI 1164760476ActiveIndividual· Physician Assistant· Garner, NC
Physician Assistant (PA-C) with Mission Health Community Multispecialty Providers LLC, practicing in Garner, North Carolina. 114 Medicare patients in 2024, $9,446 paid; nearly all of their 217 Part D prescriptions were generic (91%). Lists Memorial Mission Hospital and Asheville Surgery Ce as a hospital affiliation.
Overview
| NPI | 1164760476 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 21, 2013 |
| Last updated in NPPES | Jan 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-04032 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 262 across 34 procedure codes |
| Paid by Medicare | $9,446 |
Part D prescriptions in 2024
| Prescriptions (claims) | 217 · 235 30-day fills |
|---|---|
| Patients | 133 |
| Total drug cost | $4,527 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mission Health Community Multispecialty Providers LLCAsheville, NC · 601 clinicians
Hospital affiliation
- Memorial Mission Hospital and Asheville Surgery CeAsheville, NC
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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