Jessica Clark, CNP - Medicare Nurse Practitioner in Sioux Falls, SD

Jessica Clark, CNP is a medicare enrolled "Nurse Practitioner" in Sioux Falls, South Dakota. Her current practice location is 911 E 20th St Ste 300, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 504-1100.

Jessica Clark is licensed to practice in South Dakota (license number CP003004) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033981774.

Contact Information

Jessica Clark, CNP
911 E 20th St Ste 300,
Sioux Falls, SD 57105-1045
(605) 504-1100
Not Available



Provider's Profile

Full NameJessica Clark
GenderFemale
SpecialityNurse Practitioner
Location911 E 20th St Ste 300, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033981774
  • Provider Enumeration Date: 10/26/2023
  • Last Update Date: 11/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597109587
  • Enrollment ID: I20240218000072

Medical Identifiers

Medical identifiers for Jessica Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033981774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner CP003004 (South Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Clark allows following entities to bill medicare on her behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Clark, CNP
2420 E Baxter Cir,
Sioux Falls, SD 57108-4844

Ph: () -
Jessica Clark, CNP
911 E 20th St Ste 300,
Sioux Falls, SD 57105-1045

Ph: (605) 504-1100

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Nurse Practitioner Nurses in Sioux Falls, SD

Paul Stamp, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Cliff Ave, Suite 610, Sioux Falls, SD 57105
Phone: 605-322-8860    
Lien Lieve Swieringa, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2601 S Ellis Rd, Sioux Falls, SD 57106
Phone: 605-312-3000    
Kaitlyn Sarah Isaacson, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6110 S Minnesota Ave, Sioux Falls, SD 57108
Phone: 605-328-5800    
Mariah Schurman, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 W 18th St, Sioux Falls, SD 57105
Phone: 605-312-2100    
Dillon Matthew Hansen, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Cliff Ave # 2, Sioux Falls, SD 57105
Phone: 605-322-7020    
Chelsey Zondervan, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1309 W 17th St, Sioux Falls, SD 57104
Phone: 605-328-8000    Fax: 605-328-8001
Mrs. Donna Lynn Sebesta, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1900 S Grandview Ave, Sioux Falls, SD 57103
Phone: 605-371-3436    

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