Dominique Clark, FNP-C
NPI 1346874716ActiveIndividual· Nurse Practitioner, Family· Cordova, TN
Nurse Practitioner, Family (FNP-C) with Southeastern Emergency Physicians LLC and 2 other groups, practicing in Cordova, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $44,105 for 709 claims, against $19,132 paid for services in 2024. Mayne Pharma Commercial LLC reported $22.61 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1346874716 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Feb 25, 2020 |
| Last updated in NPPES | Nov 13, 2020 |
| Certified by provider | Nov 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 27344 | TN |
| Registered Nurse, Emergency | 163WE0003X | 174756 | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 587 across 17 procedure codes |
| Paid by Medicare | $19,132 |
Part D prescriptions in 2024
| Prescriptions (claims) | 709 · 788 30-day fills |
|---|---|
| Patients | 251 |
| Total drug cost | $44,105 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Southeastern Emergency Physicians LLCNewport, TN · 784 clinicians
- Fast Pace Medical Clinic PLLCCollinwood, TN · 724 clinicians
- Crossroads Urgent Care PLLCMurfreesboro, TN · 183 clinicians
Industry payments (Open Payments)
- 2025$22.61 · 2 payments from 1 company
- 2024$168.25 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mayne Pharma Commercial LLC | $22.61 | 2 |
What the 2025 payments were for
- Food and Beverage$22.61 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 87 family nurse practitioners in Cordova · All family nurse practitioners in Tennessee