STEPHANIE CLARK – Psychiatric/Mental Health Nurse Practitioner, NPI 1881143527
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for STEPHANIE CLARK
UnityPoint Health - Trinity, 2701, 17th Street, Rock Island, Rock Island County, Illinois, 61201, United States
ROCK ISLAND, IL 612015351
Phone: (309) 779-2031
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 5 Open Payments records for all available years, with a total value of $207.
Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($184).
Total Amount
$207
General + Research + Ownership
Payments
5
Total payment records
General Amount
$207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $184 |
| Boston Scientific Corporation | $23 |
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: 2022-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220421002557 | I | Nurse Practitioner | IL | TBD |
| I20220907003215 | I | Nurse Practitioner | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 11 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 11 | 11 | $0 |
Insurance plans in this area (ZIP 61201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Family Practice, Psychiatry, Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA | |
| Clinical Social Worker | GA | |
| P S Y C H I A T R Y | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL |
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