DEIRDRE M CLARK (NP) – Adult Health Nurse Practitioner, NPI 1811251713

DEIRDRE M CLARK (NP) is a healthcare provider. based in Norwich, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NPP37710 (RI). The NPI Number for DEIRDRE M CLARK (NP) is 1811251713

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DEIRDRE M CLARK (NP)
NPI
1811251713
Phone
(860) 889-8331
Address
326 WASHINGTON ST
Enumeration Date
26 June 2012
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604563078
Graduation Year
2012 (14 years ago)
PAC ID
9436382009
Group Practice PAC ID
3173866241
Professional Enrollment ID
I20180309001632
Address ID
CT062262050WI5XXXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for DEIRDRE M CLARK (NP)

  • 326 WASHINGTON ST

    NORWICH, CT 063602740

    Phone: (860) 889-8331

    Type: Location

  • 326 Washington St

    Norwich, CT 063602740

    Phone: (860) 889-8331

    Type: Location

  • 5 FOUNDERS ST STE 102

    WILLIMANTIC, CT 062262050

    Phone: (860) 456-2898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $402.

Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($128).

Total Amount

$402

General + Research + Ownership

Payments

18

Total payment records

General Amount

$402

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

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: 2018-03-09

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
I20180309001632INurse PractitionerCTTBD

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 minutes7465$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 06360)

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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: 3173866241View full group profile
NameSpecialtyState
-CT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
-CT
Internal MedicineCT
Internal MedicineCT
Nurse PractitionerCT
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CT

Reviews

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Frequently asked questions

What unique ID ties claims to DEIRDRE M CLARK (NP)?
NPI 1811251713 is assigned to DEIRDRE M CLARK (NP) under the national enumeration system.
Is DEIRDRE M CLARK (NP) active in the national directory?
DEIRDRE M CLARK (NP)'s public NPI profile is in an active state.
What kind of provider is DEIRDRE M CLARK (NP)?
The page reflects Adult Health Nurse Practitioner for DEIRDRE M CLARK (NP). Clinical services aligned with this taxonomy classification.
What location shows for DEIRDRE M CLARK (NP)?
We surface Norwich, Connecticut for DEIRDRE M CLARK (NP) based on available NPPES addresses.
How can I contact DEIRDRE M CLARK (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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