Jacquelyn Sue Grace Clark, DO
NPI 1780334656ActiveIndividual· Family Medicine· Crossett, AR
Family Medicine (DO) in Crossett, Arkansas, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2022). Part D covered 1,272 prescriptions written in 2024, 86% of them generic.
Overview
| NPI | 1780334656 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Mar 24, 2022 |
| Last updated in NPPES | Sep 30, 2026 |
| Certified by provider | Sep 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | E-19213 | AR |
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 - Family Practice (AR) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,272 · 2,118 30-day fills |
|---|---|
| Patients | 156 |
| Total drug cost | $116,287 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Family Practice |
Medical group
- Crossett Health FoundationHamburg, AR · 23 clinicians
Hospital affiliation
- Ashley County Medical CenterCrossett, AR
Other facilities
- Acmc Family Home HealthHome health agency · Crossett, AR
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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