MS. BERNICE L CLARK (C.R.N.P.) – Family Nurse Practitioner, NPI 1174515795
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
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Provider Addresses for MS. BERNICE L CLARK (C.R.N.P.)
402, Lippincott Drive, Marlton, Evesham Township, Burlington County, New Jersey, 08053-4112, United States
MARLTON, NJ 080534112
Phone: (856) 782-3300
Fax: (856) 504-8029
Type: Mailing
132, Grove Street, Vernon, Haddonfield, Camden County, New Jersey, 08033, United States
HADDONFIELD, NJ 080331224
Phone: (856) 354-2211
Fax: (856) 354-6181
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-09-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $15 |
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: 2008-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080527000015 | I | Nurse Practitioner | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 231 | 149 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 111 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 41 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 35 | 35 | $0 |
| G0008 | Administration of influenza virus vaccine | 34 | 34 | $0 |
Insurance plans in this area (ZIP 08053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | NJ | |
| - | NJ | |
| O T O L A R Y N G O L O G Y | NY | |
| - | NJ | |
| E N D O C R I N O L O G Y | NJ | |
| Internal Medicine | NJ | |
| Physician Assistant | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Family Practice | NJ | |
| Internal Medicine | NJ |
Reviews
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