Sheila Marie Clark
NPI 1770124661ActiveIndividual· Nurse Anesthetist, Certified Registered· Voorhees, NJ
Nurse Anesthetist, Certified Registered with Summit Medical Group PA, practicing in Voorhees, New Jersey. Medicare paid $11,123 for services to 102 patients in 2024. Lists Thomas Jefferson University Hospital as a hospital affiliation.
Overview
| NPI | 1770124661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 2, 2019 |
| Last updated in NPPES | Aug 14, 2024 |
| Certified by provider | Aug 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 26NJ15032300 | NJ |
| Registered Nurse | 163W00000X | RN689688 | PA |
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) (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 105 across 33 procedure codes |
| Paid by Medicare | $11,123 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Summit Medical Group PABerkeley Heights, NJ · 1,212 clinicians
Hospital affiliation
- Thomas Jefferson University HospitalPhiladelphia, PA
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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