Jessica Marion Clark, PMHNP
NPI 1457914160ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Saint Paul, MN
Nurse Practitioner, Psych/Mental Health (PMHNP) with Emily Program P C, practicing in Saint Paul, Minnesota. Part D covered 126 prescriptions written in 2024, 92% of them generic.
Overview
| NPI | 1457914160 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | Yes |
| NPI issued | Apr 18, 2019 |
| Last updated in NPPES | May 15, 2026 |
| Certified by provider | May 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 6747 | MN |
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 - Nurse Practitioner (MN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 126 · 131 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $9,510 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Emily Program P CSt Louis Park, MN · 51 clinicians
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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