WHITNEY NICOLE CLARK (CNM) – Advanced Practice Midwife, NPI 1033605431
Advanced Practice Midwife
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
292 CERTIFIED NURSE MIDWIFE (CNM) in OH
Provider Addresses for WHITNEY NICOLE CLARK (CNM)
1140 S KNOXVILLE AVE STE D
SAINT MARYS, OH 458852609
Phone: (419) 300-1129
Fax: (419) 394-9575
Type: Mailing
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 458852609
Phone: (419) 394-7314
Fax: (419) 394-7313
Type: Location
Pentagon Boulevard, Beavercreek, Greene County, Ohio, 45431:45432, United States
BEAVERCREEK, OH 454311705
Phone: (937) 429-7350
Fax: (937) 431-2623
Type: Mailing
801 Pro Dr Ste D3
Celina, OH 458223307
Phone: (419) 394-7314
Fax: (419) 394-7313
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Astellas Pharma US Inc ($68).
Total Amount
$141
General + Research + Ownership
Payments
9
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $68 |
| Hologic Sales and Service, LLC | $19 |
| Novo Nordisk Inc | $14 |
| Exeltis, USA Inc. | $14 |
| ABBVIE INC. | $14 |
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: 2018-07-25
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 |
|---|---|---|---|---|
| I20180725002674 | I | Certified Nurse Midwife (Cnm) | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45885)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Family Practice | IL | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice | OH | |
| Family Practice | OH | |
| Physical Medicine And Rehabilitation | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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