JEREMY L. CLARK (NP-C) – Family Nurse Practitioner, NPI 1003334665

JEREMY L. CLARK (NP-C) is a healthcare provider. based in Bessemer, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 1-148637 (AL). The NPI Number for JEREMY L. CLARK (NP-C) is 1003334665

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY L. CLARK (NP-C)
NPI
1003334665
Phone
(205) 481-7384
Address
985 9TH AVE SW STE 307
Enumeration Date
5 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054817384
Graduation Year
2017 (9 years ago)
PAC ID
1153679246
Group Practice PAC ID
6406865427
Professional Enrollment ID
I20180806003488
Address ID
AL350220000BE5000XWAYX405

Contacts

Secure Messaging
clark.jeremy@direct.uabmw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JEREMY L. CLARK (NP-C)

  • 985 9TH AVE SW STE 307

    BESSEMER, AL 350227809

    Phone: (205) 481-7384

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $1,256.

Total Amount is formed as General ($1,256) + Research ($0) + Ownership ($0) = $1,256.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($340).

Total Amount

$1,256

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180806003488INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4844$0
99213Established patient office or other outpatient visit, 20-29 minutes4138$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
99441Telephone medical discussion with physician, 5-10 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 35022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406865427View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Nurse PractitionerAL
Family Practice, Physical Medicine And RehabilitationAL
-AL
-AL
General SurgeryAL
Certified Registered Nurse Anesthetist (Crna)AL
-AL
Internal MedicineAL

Reviews

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Frequently asked questions

What is JEREMY L. CLARK (NP-C)'s NPI number?
JEREMY L. CLARK (NP-C)'s NPI is 1003334665 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JEREMY L. CLARK (NP-C)?
You should see JEREMY L. CLARK (NP-C) as active in CMS-hosted NPPES data.
What kind of doctor is JEREMY L. CLARK (NP-C)?
JEREMY L. CLARK (NP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JEREMY L. CLARK (NP-C)?
Directory geography for JEREMY L. CLARK (NP-C) centers on Bessemer, Alabama.
Does JEREMY L. CLARK (NP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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