NPPES file of Aug 9, 2026

Nicholas McKinley Clark, PA-C

Physician Assistant · Phoenix, AZ

Nicholas McKinley Clark, PA-C is a physician assistant with a practice address in Phoenix, Arizona, and NPI 1679367288, issued on Apr 8, 2025. Check the license (Arizona 11035, 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
1679367288
Name
Nicholas McKinley Clark
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
11035 AZ
Self-reported in NPPES; status is on the state search
Practice location
3522 N 3RD Ave, Phoenix, AZ 85013
Phone
(602) 776-7676
Enumerated
Apr 8, 2025
Record last updated
Apr 24, 2026
Fax
(602) 705-0567
Medicare enrollment
Enrolled (PECOS I20250523000990); 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.
Download card Updates feed

Also registered at 3522 N 3RD Ave

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

  1. Susan Barnes, RN CDERegistered Nurse1528078151
  2. Kevin ConboyPhysician Assistant1760831382
  3. Lori Holleran, PHDClinical Psychologist1669018933
  4. Heidi HowellClinical Social Worker1336564178
  5. Kimberly Le, M.D.Family Medicine Physician1063776284
  6. Katelyn Norman, FNP-CFamily Nurse Practitioner1689414955

Verify Nicholas McKinley 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 11035
    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.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through one group practice

  1. Circle The CityPhoenix, AZ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nicholas McKinley Clark among 3,666 physician assistant records in Arizona

Nicholas McKinley Clark, PA-C is one of 3,666 physician assistant records with a practice address in Arizona. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 90% of them.

  • NPI issued2025 · 90% of these records are older, 4% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2024 · median 2018 among the 2,207 with a school on file
  • Record last updated2026 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

923 physician assistant records list a practice address in Phoenix

They are 923 of the 31,399 NPPES records with a practice address in Phoenix, and 3,666 physician assistant records in Arizona.

The 8 physician assistant records with the nearest ZIP codes

  1. Sheri Agran, PA-CPhoenix, AZ 850131548331341
  2. Laura Andersen, PACPhoenix, AZ 850131710061171
  3. Riki Davidson, PA-CPhoenix, AZ 850131194775981
  4. Rafael Garcia, PA-CPhoenix, AZ 850131144317637
  5. Melissa Hoover, PAPhoenix, AZ 850131992789135
  6. Jan Hughes, NNPPhoenix, AZ 850131184643892
  7. Bryan Lee, PA-CPhoenix, AZ 850131205951365
  8. Beth Lockhart, PACPhoenix, AZ 850131871681023

Common questions

What is Nicholas McKinley Clark, PA-C's NPI number?

Nicholas McKinley Clark, PA-C's National Provider Identifier (NPI) is 1679367288, issued on Apr 8, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Nicholas McKinley Clark, PA-C located?

The NPPES record lists a practice address at 3522 N 3RD Ave, Phoenix, AZ, 85013. Phone: (602) 776-7676. Providers update this record themselves, so call before visiting.

How can I verify Nicholas McKinley Clark, PA-C's license?

NPPES lists Arizona license number 11035, 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.