Andrea Clark, PNP- PC/AC
NPI 1295457364ActiveIndividual· Nurse Practitioner, Pediatrics· Phoenix, AZ
Nurse Practitioner, Pediatrics (PNP- PC/AC) with Phoenix Children's Hospital, practicing in Phoenix, Arizona. Enrolled in Medicare as practitioner - nurse practitioner. Lists Phoenix Children's Hospital as a hospital affiliation.
Overview
| NPI | 1295457364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PNP- PC/AC |
| Sole proprietor | No |
| NPI issued | Sep 15, 2022 |
| Last updated in NPPES | Jun 21, 2024 |
| Certified by provider | Jun 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 264063 | AZ |
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 (AZ) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Phoenix Children's HospitalPhoenix, AZ · 437 clinicians
Hospital affiliation
- Phoenix Children's HospitalPhoenix, AZ
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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