AMY MARIE CLARK (M.D.) – Anesthesiology Physician, NPI 1548355829

AMY MARIE CLARK (M.D.) is a healthcare provider. based in Doniphan, Nebraska. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 23640 (NE). The NPI Number for AMY MARIE CLARK (M.D.) is 1548355829

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
AMY MARIE CLARK (M.D.)
NPI
1548355829
Phone
(402) 845-9216
Address
330 RENEE ROAD
Enumeration Date
4 October 2006
Last Update Date
17 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
3084553600
Graduation Year
2002 (24 years ago)
PAC ID
2860492477
Group Practice PAC ID
5991195547
Professional Enrollment ID
I20070104000507
Address ID
NE688452206KE804XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

340 ANESTHESIOLOGY in NE

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Provider Addresses for AMY MARIE CLARK (M.D.)

  • 330 RENEE ROAD

    DONIPHAN, NE 68832

    Phone: (402) 845-9216

    Type: Mailing

  • 22nd Avenue, Kearney, Buffalo County, Nebraska, 68849, United States

    SONNO ANESTHESIA PC

    KEARNEY, NE 688450380

    Phone: (308) 224-2062

    Fax: (888) 974-5962

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $279.

Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABIOMED ($68).

Total Amount

$279

General + Research + Ownership

Payments

10

Total payment records

General Amount

$279

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-01-04

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
I20070104000507IAnesthesiologyNETBD

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
99291Critical care, first 30-74 minutes4019$0
36620Insertion of artery tube for blood sampling or infusion through skin3333$0
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2524$0
01922Anesthesia for x-ray or radiation therapy2020$0
View full utilization report →

Insurance plans in this area (ZIP 68832)

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Provider's Procedures

AMY MARIE CLARK (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYNE01402Anesthesia for open or endoscopic total knee joint replacement2019

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: 5991195547View full group profile
NameSpecialtyState
Nurse PractitionerNE
Interventional CardiologyMD
Nurse PractitionerNE
Thoracic SurgeryWA
Family Practice, Obstetrics/GynecologyNE
Emergency MedicineNE
Nurse PractitionerNE
General SurgeryNE
Nurse PractitionerNE
Internal MedicineNE

Reviews

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Frequently asked questions

Can I cross-check AMY MARIE CLARK (M.D.) using NPI 1548355829?
NPI 1548355829 belongs to AMY MARIE CLARK (M.D.); compare other details if you need extra assurance.
Would AMY MARIE CLARK (M.D.) appear as active to a payer?
You can treat AMY MARIE CLARK (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for AMY MARIE CLARK (M.D.)?
At a glance, AMY MARIE CLARK (M.D.) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMY MARIE CLARK (M.D.)?
Travel planning: use Doniphan, Nebraska as the reference point for AMY MARIE CLARK (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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