Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas E. Clark

Individual provider Certified Registered Nurse Anesthetist · NPI 1316430564

Nicholas E. Clark is registered under Certified Registered Nurse Anesthetist (CRNA) in South Charleston, West Virginia. Qualified in 2018, 8 years ago. Practices with Ths Physician Partners Inc, a 359-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
8
Licensed in
WV
In the registry since
2018
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Practice location Address checks out

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone: (304) 766-3600
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 118087 (WV)

Record details

NPI number1316430564
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2018
Last updated in NPPESJune 12, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ths Physician Partners Inc — 359 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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 patients85
Services billed 85 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.

Colleagues at Ths Physician Partners Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 359 clinicians in the practice; 12 are shown here.

Other providers in South Charleston