DAVE CLARK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1831191634

DAVE CLARK (CRNA) is a healthcare provider. based in Waconia, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 066209 (IA). The NPI Number for DAVE CLARK (CRNA) is 1831191634

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DAVE CLARK (CRNA)
NPI
1831191634
Phone
(952) 442-9770
Address
400 E 10TH ST
Enumeration Date
11 August 2005
Last Update Date
29 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122792505
Graduation Year
1992 (34 years ago)
PAC ID
5294638870
Group Practice PAC ID
2860383296
Professional Enrollment ID
I20070320000682
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DAVE CLARK (CRNA)

  • 400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States

    WACONIA, MN 553874552

    Phone: (952) 442-9770

    Fax: (952) 442-3620

    Type: Mailing

  • Mercy Medical Center, 801, 5th Street, Sioux City, Woodbury County, Iowa, 51101, United States

    SIOUX CITY, IA 511011394

    Phone: (712) 279-2505

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 55387)

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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: 2860383296View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)MN
-MT
-IA
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How do I look up DAVE CLARK (CRNA) by NPI?
Use NPI 1831191634 when you need to reference DAVE CLARK (CRNA) in forms, claims, or directories.
Is DAVE CLARK (CRNA)'s NPI currently valid?
The extract we use shows DAVE CLARK (CRNA) as active.
Does DAVE CLARK (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for DAVE CLARK (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place DAVE CLARK (CRNA)?
The snapshot lists Waconia, Minnesota for DAVE CLARK (CRNA); download NPPES for the complete set.
How can I contact DAVE CLARK (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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