ROSHUNYA SHAVON CLARK (ARNP) – Nurse Practitioner, NPI 1497292049

ROSHUNYA SHAVON CLARK (ARNP) is a healthcare provider. based in Sarasota, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN9214368 (FL). The NPI Number for ROSHUNYA SHAVON CLARK (ARNP) is 1497292049

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ROSHUNYA SHAVON CLARK (ARNP)
NPI
1497292049
Phone
Not provided
Address
3721 PARKRIDGE CIR
Enumeration Date
20 January 2017
Last Update Date
15 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413665333
Graduation Year
2016 (10 years ago)
PAC ID
1951569466
Group Practice PAC ID
9830324169
Professional Enrollment ID
I20201023001090
Address ID
FL342348690SA1750XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ROSHUNYA SHAVON CLARK (ARNP)

  • 3721 PARKRIDGE CIR

    SARASOTA, FL 342431455

    Phone:

    Type: Mailing

  • 1750 17TH ST STE G

    SARASOTA, FL 342348666

    Phone: (941) 366-5333

    Fax: (941) 331-2540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $2,171.

Total Amount is formed as General ($2,171) + Research ($0) + Ownership ($0) = $2,171.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alkermes, Inc. ($404).

Total Amount

$2,171

General + Research + Ownership

Payments

105

Total payment records

General Amount

$2,171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-10-23

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
I20201023001090INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34243)

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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: 9830324169View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Physician AssistantFL

Reviews

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Frequently asked questions

Can I use this page to confirm ROSHUNYA SHAVON CLARK (ARNP)'s NPI?
Yes. ROSHUNYA SHAVON CLARK (ARNP) is listed with NPI 1497292049 in the public NPI dataset.
Is ROSHUNYA SHAVON CLARK (ARNP) still practicing?
ROSHUNYA SHAVON CLARK (ARNP) is currently listed as active in the public NPI registry.
What is ROSHUNYA SHAVON CLARK (ARNP)'s primary classification?
Nurse Practitioner is the headline specialty for ROSHUNYA SHAVON CLARK (ARNP) here. Clinical services aligned with this taxonomy classification.
Does ROSHUNYA SHAVON CLARK (ARNP) list a practice location?
Patients near Sarasota, Florida may find ROSHUNYA SHAVON CLARK (ARNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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