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Benjamin Jacob Clark, CRNA

NPI 1407150055ActiveIndividual· Nurse Anesthetist, Certified Registered· Elkhart, IN

Nurse Anesthetist, Certified Registered (CRNA) in Elkhart, Indiana, trained at Albany Medical College of Union University (class of 2010). Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Avanos Medical reported $29.63 in payments in 2025, mostly food and beverage.

Overview

NPI1407150055
StatusActive
Entity typeIndividual
CredentialCRNA
Sole proprietorNo
NPI issuedDec 22, 2010
Last updated in NPPESDec 22, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Anesthetist, Certified Registered Primary367500000X28193318AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WA)

Medicare sources and data years

Education and affiliations

Medical schoolAlbany Medical College of Union University
Graduation year2010
Medicare specialtyCertified Registered Nurse Anesthetist (Crna)

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$29.63 · 1 payment from 1 company
  • 2024$17.29 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Avanos Medical$29.631

What the 2025 payments were for

  • Food and Beverage$29.63 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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