Jacqueline Elizabeth Clark, CNM
NPI 1902424161ActiveIndividual· Advanced Practice Midwife· Ann Arbor, MI
Advanced Practice Midwife (CNM) in Ann Arbor, Michigan, licensed in MI, with an NPI issued in July 2020. Enrolled in Medicare as practitioner - certified nurse midwife (cnm). Coopersurgical, Inc. reported $29.92 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1902424161 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNM |
| Sole proprietor | No |
| NPI issued | Jul 13, 2020 |
| Last updated in NPPES | Nov 13, 2023 |
| Certified by provider | Nov 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | 4704304116 | MI |
| Advanced Practice Midwife | 367A00000X | — | — |
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 - Certified Nurse Midwife (Cnm) (MI) |
|---|
Industry payments (Open Payments)
- 2025$29.92 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopersurgical, Inc. | $29.92 | 1 |
What the 2025 payments were for
- Food and Beverage$29.92 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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