MERIDITH JILL CLARK (P.A.) – Physician Assistant, NPI 1730173899

MERIDITH JILL CLARK (P.A.) is a healthcare provider. based in Spring hill, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9101273 (FL). The NPI Number for MERIDITH JILL CLARK (P.A.) is 1730173899

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MERIDITH JILL CLARK (P.A.)
NPI
1730173899
Phone
(727) 943-3111
Address
1180 MARINER BLVD
Enumeration Date
6 September 2005
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7278777710
Graduation Year
2000 (26 years ago)
PAC ID
5193792596
Group Practice PAC ID
4587170907
Professional Enrollment ID
I20040915000216
Address ID
FL346676757HU7515XRDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MERIDITH JILL CLARK (P.A.)

  • 1180, Mariner Boulevard, Spring Hill, Hernando County, Florida, 34609, United States

    SPRING HILL, FL 346095603

    Phone: (727) 943-3111

    Fax: (727) 943-3334

    Type: Mailing

  • 7515 State Road 52 Ste 106

    Hudson, FL 346676757

    Phone: (727) 877-7710

    Fax: (727) 877-7709

    Type: Location

  • 43309 US HIGHWAY 19 N

    TARPON SPRINGS, FL 346896221

    Phone: (727) 943-3111

    Fax: (727) 943-3334

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $865.

Total Amount is formed as General ($865) + Research ($0) + Ownership ($0) = $865.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($471).

Total Amount

$865

General + Research + Ownership

Payments

33

Total payment records

General Amount

$865

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-09-15

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
I20040915000216IPhysician AssistantFLTBD

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 34609)

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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: 4587170907View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Is MERIDITH JILL CLARK (P.A.) listed with a National Provider Identifier?
Yes — MERIDITH JILL CLARK (P.A.) has NPI 1730173899 on file in the registry.
Would MERIDITH JILL CLARK (P.A.) appear as active to a payer?
You can treat MERIDITH JILL CLARK (P.A.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MERIDITH JILL CLARK (P.A.)?
MERIDITH JILL CLARK (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MERIDITH JILL CLARK (P.A.) associated with Spring Hill?
Public fields place MERIDITH JILL CLARK (P.A.) around Spring Hill, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MERIDITH JILL CLARK (P.A.) is noted as September 6, 2005 where the registry provides it.

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