GAIL A CLARK (CNM) – Advanced Practice Midwife, NPI 1760718258
Advanced Practice Midwife
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
140 CERTIFIED NURSE MIDWIFE (CNM) in IN
Provider Addresses for GAIL A CLARK (CNM)
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
8028 CARNEGIE BLVD STE 300
FORT WAYNE, IN 468045788
Phone: (260) 425-6650
Fax: (260) 755-6233
Type: Location
3926, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States
BLDG H
FORT WAYNE, IN 468451712
Phone: (765) 286-2000
Fax: (765) 213-3029
Type: Mailing
2501, West Jackson Street, Muncie, Delaware County, Indiana, 47303, United States
MUNCIE, IN 473034632
Phone: (765) 286-2000
Fax: (765) 213-3029
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
11123 PARKVIEW PLAZA DR STE 101
FORT WAYNE, IN 468451707
Phone: (260) 425-6650
Fax: (260) 425-6649
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $145.
Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($42).
Total Amount
$145
General + Research + Ownership
Payments
9
Total payment records
General Amount
$145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120730000531 | I | Certified Nurse Midwife (Cnm) | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | NC | |
| U R O L O G Y | IN | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Nurse Practitioner | IN | |
| P A T H O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| E N D O C R I N O L O G Y | IN | |
| Family Practice, Sports Medicine | IN | |
| Gastroenterology, Internal Medicine | IN | |
| Orthopedic Surgery | MO |
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