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

Ryan Mathew Clark, CRNA

Individual provider Anesthesiologist Assistant · NPI 1184903460

Ryan Mathew Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bolivar, Missouri. Qualified in 2011, 15 years ago. Practices with Citizens Memorial Hospital District, a 48-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1500 N Oakland
Bolivar, MO 65613-3099
Phone: (417) 328-7705
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2011022952 (MO)

Record details

NPI number1184903460
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESAugust 4, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Citizens Memorial Hospital District — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare