Nicholas E. Clark
Certified Registered Nurse Anesthetist · South Charleston, WV
Nicholas E. Clark is a certified registered nurse anesthetist with a practice address in South Charleston, West Virginia, and NPI 1316430564, issued on Jun 12, 2018. Check the license (West Virginia 118087, as entered in NPPES) with the West Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicholas E. Clark
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 118087 WV
Self-reported in NPPES; status is on the state search - Practice location
- 4605 Maccorkle Ave SW, South Charleston, WV 25309
- Phone
- (304) 766-3600
- Enumerated
- Jun 12, 2018
- Record last updated
- Jun 12, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20180815002652); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 790 in West Virginia → Look up another NPI →
Also registered at 4605 Maccorkle Ave SW
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kellee Abner, M.D.Anesthesiology Physician1104879311
- David Abramowitz, M.D.Diagnostic Radiology Physician1164425542
- Niki Aliff, AGACNPAcute Care Nurse Practitioner1699529651
- Heather Anderson, FNP-CFamily Nurse Practitioner1972182830
- Tarek Anderson, M.D.Neonatal-Perinatal Medicine Physician1841365640
- Muhammad Anwar, MBBS, MDInternal Medicine Physician1477110468
Verify Nicholas E. Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich West Virginia board licenses this profession
Search for license 118087Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 78.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Professional Anesthesia Service,inc.South Charleston, WV
- Ths Physician Partners IncSouth Charleston, WV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicholas E. Clark among 790 certified registered nurse anesthetist records in West Virginia
Nicholas E. Clark is one of 790 certified registered nurse anesthetist records with a practice address in West Virginia. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 71% of them.
- NPI issued2018 · 71% of these records are older, 26% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2018 · median 2012 among the 601 with a school on file
- Record last updated2018 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a West Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
43 certified registered nurse anesthetist records list a practice address in South Charleston
They are 43 of the 2,500 NPPES records with a practice address in South Charleston, and 790 certified registered nurse anesthetist records in West Virginia.
All 790 in West Virginia → Every provider in South Charleston → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Tammy Cunningham, CRNASouth Charleston, WV 253091104844109
- Carol Davis, CRNASouth Charleston, WV 253091558396929
- Marnie Edwards, CRNASouth Charleston, WV 253091225054745
- Angela Hager, CRNASouth Charleston, WV 253091366466369
- Brenda Hensley, CRNASouth Charleston, WV 253091588688071
- Dolores Marshall, CRNASouth Charleston, WV 253091891713954
- Elizabeth Neal, CRNASouth Charleston, WV 253091346269735
- Deborah Phillips, CRNASouth Charleston, WV 253091598784266
Common questions
What is Nicholas E. Clark's NPI number?
Nicholas E. Clark's National Provider Identifier (NPI) is 1316430564, issued on Jun 12, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Nicholas E. Clark located?
The NPPES record lists a practice address at 4605 Maccorkle Ave SW, South Charleston, WV, 25309. Phone: (304) 766-3600. Providers update this record themselves, so call before visiting.
How can I verify Nicholas E. Clark's license?
NPPES lists West Virginia license number 118087, as entered by the provider. Search the West Virginia board that licenses this profession; the NPPES record confirms identity only.
What is Nicholas E. Clark's MIPS final score?
The 2023 MIPS final score is 78.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.