Nicholas E. Clark
NPI 1316430564ActiveIndividual· Nurse Anesthetist, Certified Registered· South Charleston, WV
Nurse Anesthetist, Certified Registered with Ths Physician Partners Inc and 1 other group, practicing in South Charleston, West Virginia. Medicare paid $7,744 for services to 85 patients in 2024. Lists Thomas Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1316430564 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 12, 2018 |
| Last updated in NPPES | Jun 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 118087 | WV |
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) (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 85 across 35 procedure codes |
| Paid by Medicare | $7,744 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Ths Physician Partners IncSouth Charleston, WV · 378 clinicians
- Professional Anesthesia Service,inc.South Charleston, WV · 42 clinicians
Hospital affiliation
- Thomas Memorial HospitalSouth Charleston, WV
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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