Stephanie Nicole Clark, CRNA
NPI 1215486444ActiveIndividual· Nurse Anesthetist, Certified Registered· Goldsboro, NC
Nurse Anesthetist, Certified Registered (CRNA) with Memorial Hospital at Gulfport and 2 other groups, practicing in Goldsboro, North Carolina. Medicare paid $11,649 for services to 215 patients in 2024. Boston Scientific Corporation reported $20.59 in payments in 2025, mostly food and beverage. Lists Memorial Hospital at Gulfport as a hospital affiliation.
Overview
| NPI | 1215486444 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Sep 29, 2016 |
| Last updated in NPPES | Oct 2, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 901448 | MS |
| Nurse Anesthetist, Certified Registered | 367500000X | 111055 | AL |
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 - Certified Registered Nurse Anesthetist (CRNA) (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 215 |
|---|---|
| Services billed | 225 across 20 procedure codes |
| Paid by Medicare | $11,649 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Memorial Hospital at GulfportGulfport, MS · 474 clinicians
- Etas PLLCGulfport, MS · 42 clinicians
- Best Anesthesia PLLCBiloxi, MS · 21 clinicians
Hospital affiliation
- Memorial Hospital at GulfportGulfport, MS
Industry payments (Open Payments)
- 2025$20.59 · 1 payment from 1 company
- 2024$171.94 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $20.59 | 1 |
What the 2025 payments were for
- Food and Beverage$20.59 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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