Jordan Clark, PA-C
NPI 1336701911ActiveIndividual· Physician Assistant· Fort Riley, KS
Physician Assistant (PA-C) in Fort Riley, Kansas, licensed in KS, with an NPI issued in July 2019. Medicare paid $1,024 for services to 12 patients in 2024. Biosense Webster, Inc. reported $32.11 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1336701911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 3, 2019 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 15-02330 | KS |
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 - Physician Assistant (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 12 across 3 procedure codes |
| Paid by Medicare | $1,024 |
Industry payments (Open Payments)
- 2025$32.11 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biosense Webster, Inc. | $32.11 | 1 |
What the 2025 payments were for
- Food and Beverage$32.11 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 68 physician assistants in Fort Riley · All physician assistants in Kansas