Jonathan B. Clark, CRNA
NPI 1275923781ActiveIndividual· Nurse Anesthetist, Certified Registered· Providence, RI
Nurse Anesthetist, Certified Registered (CRNA) with Coastal Medical Associates and 2 other groups, practicing in Providence, Rhode Island. Medicare paid $10,022 for services to 137 patients in 2024. Lists South Shore Hospital as a hospital affiliation.
Overview
| NPI | 1275923781 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Feb 4, 2015 |
| Last updated in NPPES | Sep 16, 2021 |
| Certified by provider | Sep 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | APRN00302 | RI |
| Nurse Anesthetist, Certified Registered | 367500000X | RN277232 | MA |
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) (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 137 |
|---|---|
| Services billed | 139 across 37 procedure codes |
| Paid by Medicare | $10,022 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Coastal Medical AssociatesWeymouth, MA · 443 clinicians
- Capa Anesthesia LLCWeymouth, MA · 70 clinicians
- South Suburban Gastroenterology PCWeymouth, MA · 48 clinicians
Hospital affiliation
- South Shore HospitalSouth Weymouth, MA
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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