Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Elise Diane Clark, FNPBC

Individual provider Nurse Practitioner · NPI 1184619595

Mrs. Elise Diane Clark, FNPBC is a Nurse Practitioner in Delphos, Ohio. Graduated from University of Toledo College of Medicine in 2001, 25 years ago. Practices with Lima Memorial Professional Corporation, a 169-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
25
Trained at
University of Toledo College of Medicine
Licensed in
OH
In the registry since
2005
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Practice location Address checks out

607 Elida Ave
Delphos, OH 45833-1736
Phone: (419) 991-7805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2875 W Elm St, Lima, OH 45805-2510 — (419) 991-7805

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.06689 (OH)

Record details

NPI number1184619595
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNPBC
Sole proprietorNo
NPI enumeratedSeptember 13, 2005
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Lima Memorial Professional Corporation — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients142
Services billed 271 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Lima Memorial Professional Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 169 clinicians in the practice; 12 are shown here.

Other providers in Delphos