CHRISTINA MAE CLARK (PA) – Physician Assistant, NPI 1013565498

CHRISTINA MAE CLARK (PA) is a healthcare provider. based in Sanford, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PAN374 (ME). The NPI Number for CHRISTINA MAE CLARK (PA) is 1013565498

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA MAE CLARK (PA)
NPI
1013565498
Phone
(207) 324-1488
Address
25A JUNE STREET
Enumeration Date
29 August 2019
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
9537491295
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20191029003165
Address ID
ME040732642SA25XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

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Provider Addresses for CHRISTINA MAE CLARK (PA)

  • 25, June Street, Sanford, York County, Maine, 04073, United States

    SANFORD, ME 04073

    Phone: (207) 324-1488

    Type: Location

  • 57, James Street, Wells, York County, Maine, 04090, United States

    WELLS, ME 040906151

    Phone: (207) 651-8072

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-10-29

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
I20191029003165IPhysician AssistantMETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4031$0
20610Aspiration and/or injection of fluid from large joint3122$0
27447Replacement of knee joint, both sides of knee1515$0
27130Replacement of thigh bone and hip joint with prosthesis1413$0
View full utilization report →

Insurance plans in this area (ZIP 04073)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm CHRISTINA MAE CLARK (PA)'s NPI?
Yes. CHRISTINA MAE CLARK (PA) is listed with NPI 1013565498 in the public NPI dataset.
Does the file indicate CHRISTINA MAE CLARK (PA) is practicing under active NPI?
Directory data currently reports CHRISTINA MAE CLARK (PA) as active.
What is CHRISTINA MAE CLARK (PA)'s primary classification?
Physician Assistant is the headline specialty for CHRISTINA MAE CLARK (PA) here. Clinical services aligned with this taxonomy classification.
What address line appears for CHRISTINA MAE CLARK (PA)?
CHRISTINA MAE CLARK (PA)'s geographic hint is Sanford, Maine in our summary view.
Is the information about CHRISTINA MAE CLARK (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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