NPPES file of Aug 9, 2026

Andrea Clark, PNP- PC/AC

Pediatric Nurse Practitioner · Phoenix, AZ

Andrea Clark, PNP- PC/AC is a pediatric nurse practitioner with a practice address in Phoenix, Arizona, and NPI 1295457364, issued on Sep 15, 2022. Check the license (Arizona 264063, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295457364
Name
Andrea Clark
Credential
PNP- PC/AC
Primary taxonomy
Pediatric Nurse Practitioner 363LP0200X
License number
264063 AZ
Self-reported in NPPES; status is on the state search
Practice location
1919 E Thomas RD, Phoenix, AZ 85016
Phone
(602) 933-1900
Enumerated
Sep 15, 2022
Record last updated
Jun 21, 2024
Fax
(602) 933-1918
Medicaid ID
156185 AZ
Medicare enrollment
Enrolled (PECOS I20221219001674); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1919 E Thomas RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Asmaa Aamir, M.D.Diagnostic Radiology Physician1912163791
  2. Madeline Aaron, APRN-RNPPediatric Nurse Practitioner1851134837
  3. Brandon Abbott, D.O., M.P.H.Hospitalist Physician1528350139
  4. Jason AbbottStudent in an Organized Health Care Education/Training Program1184257958
  5. Monica Abd El Nour, MDPediatric Infectious Diseases Physician1760044101
  6. Lindsay Abel, DOStudent in an Organized Health Care Education/Training Program1750222055

Verify Andrea Clark in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 264063
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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One hospital affiliation

  1. Phoenix Children's HospitalPhoenix, AZ · Childrens

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).

Andrea Clark among 435 pediatric nurse practitioner records in Arizona

Andrea Clark, PNP- PC/AC is one of 435 pediatric nurse practitioner records with a practice address in Arizona. 43% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 82% of them.

  • NPI issued2022 · 82% of these records are older, 12% newer
  • In a Medicare fileYes · 43% of these records are
  • In the CMS Doctors and Clinicians fileYes · 16% of these records are
  • Graduated2021 · median 2019 among the 68 with a school on file
  • Record last updated2024 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0200X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Nurse Practitioner providers in Arizona

There are 435 pediatric nurse practitioner records in Arizona.

The 8 pediatric nurse practitioner records with the nearest ZIP codes

  1. Kimberly Demchak, PNPPhoenix, AZ 850161811959653
  2. Terry Dorr, PNPPhoenix, AZ 850161801858519
  3. Stacey Grohall, CPNPPhoenix, AZ 850161497784565
  4. Judith Harris, PNPPhoenix, AZ 850161265495402
  5. Carolyn Hickman, PNPPhoenix, AZ 850161316900558
  6. Deborah Jacobi, PNPPhoenix, AZ 850161134105950
  7. Kathleen Klas, P.N.P., R.N.F.A.Phoenix, AZ 850161295796373
  8. Amy Kolwaite, PNPPhoenix, AZ 850161184730335

Common questions

What is Andrea Clark, PNP- PC/AC's NPI number?

Andrea Clark, PNP- PC/AC's National Provider Identifier (NPI) is 1295457364, issued on Sep 15, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Andrea Clark, PNP- PC/AC located?

The NPPES record lists a practice address at 1919 E Thomas RD, Phoenix, AZ, 85016. Phone: (602) 933-1900. Providers update this record themselves, so call before visiting.

How can I verify Andrea Clark, PNP- PC/AC's license?

NPPES lists Arizona license number 264063, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.