TAMARA L CLARK (PA-C) – Medical Physician Assistant, NPI 1598772147

TAMARA L CLARK (PA-C) is a healthcare provider. based in Lincoln, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1170 (NE). The NPI Number for TAMARA L CLARK (PA-C) is 1598772147

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA L CLARK (PA-C)
NPI
1598772147
Phone
(402) 421-0896
Address
8055 O ST
Enumeration Date
2 August 2006
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024218581
Graduation Year
2004 (22 years ago)
PAC ID
2163461088
Group Practice PAC ID
4880668805
Professional Enrollment ID
I20050429000711
Address ID
NE685164735LI6120XDRXX300

Contacts

Secure Messaging
tami.clark@gsodocs.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for TAMARA L CLARK (PA-C)

  • O Street, Lincoln, Lancaster County, Nebraska, 68527, United States

    STE 300

    LINCOLN, NE 685102580

    Phone: (402) 421-0896

    Fax: (402) 421-0945

    Type: Mailing

  • 6050, Village Drive, Cripple Creek, Lincoln, Lancaster County, Nebraska, 68516, United States

    LINCOLN, NE 685164714

    Phone: (402) 421-8581

    Fax: (402) 421-8594

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,430.

Total Amount is formed as General ($1,430) + Research ($0) + Ownership ($0) = $1,430.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($542).

Total Amount

$1,430

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2005-04-29

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
I20050429000711IPhysician AssistantNETBD

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 minutes6742$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination5050$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2828$0
99212Established patient office or other outpatient visit, 10-19 minutes2313$0
View full utilization report →

Insurance plans in this area (ZIP 68510)

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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: 4880668805View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
Nurse PractitionerNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What is TAMARA L CLARK (PA-C)'s NPI number?
TAMARA L CLARK (PA-C)'s NPI is 1598772147 — the number used across U.S. healthcare to identify this provider.
Is there an active status for TAMARA L CLARK (PA-C)?
For scheduling context, TAMARA L CLARK (PA-C) is shown as active in the registry.
What clinical focus is listed for TAMARA L CLARK (PA-C)?
At a glance, TAMARA L CLARK (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is TAMARA L CLARK (PA-C) located near Lincoln?
TAMARA L CLARK (PA-C) currently maps to Lincoln, Nebraska in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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