SARAH SHIVERS CLARK (NP-C) – Family Nurse Practitioner, NPI 1164921854

SARAH SHIVERS CLARK (NP-C) is a healthcare provider. based in Pensacola, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 9376525 (FL). The NPI Number for SARAH SHIVERS CLARK (NP-C) is 1164921854

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SARAH SHIVERS CLARK (NP-C)
NPI
1164921854
Phone
(850) 432-3467
Address
1717 N E ST STE 239
Enumeration Date
7 February 2018
Last Update Date
13 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504395394
Graduation Year
2017 (9 years ago)
PAC ID
0042572950
Group Practice PAC ID
6204141872
Professional Enrollment ID
I20180312002548
Address ID
FL325032003PE525XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for SARAH SHIVERS CLARK (NP-C)

  • 239, North E Street, Pensacola, Escambia County, Florida, 32502, United States

    PENSACOLA, FL 325016390

    Phone: (850) 432-3467

    Fax: (850) 434-2308

    Type: Location

  • King's Way, Pensacola, Escambia County, Florida, 32504, United States

    PENSACOLA, FL 325044809

    Phone: (601) 842-4291

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: ABBVIE INC. ($66).

Total Amount

$138

General + Research + Ownership

Payments

8

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

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: 2018-03-12

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
I20180312002548INurse PractitionerFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths608118$0
99213Established patient office or other outpatient visit, 20-29 minutes256222$0
17000Destruction of precancer skin growth, 1 growth199176$0
11102Biopsy of related skin growth, first growth176155$0
11103Biopsy of related skin growth, each additional growth16579$0
View full utilization report →

Insurance plans in this area (ZIP 32501)

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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: 6204141872View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)FL

Reviews

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Frequently asked questions

What NPI should I save for SARAH SHIVERS CLARK (NP-C)?
Save NPI 1164921854 if you need a stable reference for SARAH SHIVERS CLARK (NP-C).
Is SARAH SHIVERS CLARK (NP-C) currently active in the NPI registry?
CMS-published data lists SARAH SHIVERS CLARK (NP-C) as an active registrant.
What kind of provider is SARAH SHIVERS CLARK (NP-C)?
The page reflects Family Nurse Practitioner for SARAH SHIVERS CLARK (NP-C). Clinical services aligned with this taxonomy classification.
Where is SARAH SHIVERS CLARK (NP-C)'s primary listing?
We display Pensacola, Florida because that is what the record indicates for SARAH SHIVERS CLARK (NP-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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