RONDA K. CLARK (PA-C) – Medical Physician Assistant, NPI 1700832565

RONDA K. CLARK (PA-C) is a healthcare provider. based in York, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 684 (NE). The NPI Number for RONDA K. CLARK (PA-C) is 1700832565

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
RONDA K. CLARK (PA-C)
NPI
1700832565
Phone
(402) 366-1685
Address
1910 N GRANT AVE
Enumeration Date
25 May 2006
Last Update Date
15 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027732130
Graduation Year
1995 (31 years ago)
PAC ID
8022119379
Group Practice PAC ID
4284605700
Professional Enrollment ID
I20111130000076
Address ID
NE689792215SU208XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for RONDA K. CLARK (PA-C)

  • Grant Avenue, York, York County, Nebraska, 68467, United States

    YORK, NE 684671125

    Phone: (402) 366-1685

    Type: Mailing

  • 309, South Lincoln Avenue, York, York County, Nebraska, 68467, United States

    YORK, NE 68467

    Phone: (402) 745-6279

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $793.

Total Amount is formed as General ($793) + Research ($0) + Ownership ($0) = $793.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($286).

Total Amount

$793

General + Research + Ownership

Payments

23

Total payment records

General Amount

$793

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: 2007-07-31

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
I20070731000184IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 68467)

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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: 4284605700View full group profile
NameSpecialtyState
Family PracticeNE
Family PracticeNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Physician AssistantNE

Reviews

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Frequently asked questions

What unique ID ties claims to RONDA K. CLARK (PA-C)?
NPI 1700832565 is assigned to RONDA K. CLARK (PA-C) under the national enumeration system.
Is RONDA K. CLARK (PA-C)'s NPI currently valid?
The extract we use shows RONDA K. CLARK (PA-C) as active.
What field does RONDA K. CLARK (PA-C) work in?
You can think of RONDA K. CLARK (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does RONDA K. CLARK (PA-C) practice in Nebraska?
You will see York, Nebraska on file for RONDA K. CLARK (PA-C) alongside any extra practice locations.
Is RONDA K. CLARK (PA-C) a real provider?
This page reflects official NPPES data for NPI 1700832565. Always confirm identity and privileges with the practice and licensing boards.

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