GREGORY W CLARK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376776633

GREGORY W CLARK (CRNA) is a healthcare provider. based in Beaver falls, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN550651 (PA). The NPI Number for GREGORY W CLARK (CRNA) is 1376776633

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY W CLARK (CRNA)
NPI
1376776633
Phone
(724) 891-2100
Address
100 KNOWLSON AVE
Enumeration Date
2 September 2009
Last Update Date
10 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4122328104
Graduation Year
2009 (17 years ago)
PAC ID
5395886998
Group Practice PAC ID
2567457740
Professional Enrollment ID
I20100105000196
Address ID
PA152414907PI2589XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for GREGORY W CLARK (CRNA)

  • 100 KNOWLSON AVE

    BEAVER FALLS, PA 150101634

    Phone: (724) 891-2100

    Fax: (724) 891-2735

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $565.

Total Amount is formed as General ($565) + Research ($0) + Ownership ($0) = $565.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($150).

Total Amount

$565

General + Research + Ownership

Payments

25

Total payment records

General Amount

$565

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

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: 2015-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100105000196ICertified Registered Nurse Anesthetist (Crna)PATBD
I20151104001884ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00812Anesthesia for exam of colon using an endoscope201201$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope107107$0
00811Anesthesia for other procedure on large bowel using an endoscope8987$0
00142Anesthesia for lens surgery3130$0
View full utilization report →

Insurance plans in this area (ZIP 15010)

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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: 2567457740View full group profile
NameSpecialtyState
Nurse PractitionerPA
Certified Registered Nurse Anesthetist (Crna)PA
P A T H O L O G YPA
Internal MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Certified Registered Nurse Anesthetist (Crna)OH
Gastroenterology, Internal MedicinePA

Reviews

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Frequently asked questions

How do I look up GREGORY W CLARK (CRNA) by NPI?
Use NPI 1376776633 when you need to reference GREGORY W CLARK (CRNA) in forms, claims, or directories.
Is GREGORY W CLARK (CRNA)'s NPI currently valid?
The extract we use shows GREGORY W CLARK (CRNA) as active.
What does GREGORY W CLARK (CRNA) treat or focus on?
Patients typically see GREGORY W CLARK (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is GREGORY W CLARK (CRNA)'s primary listing?
We display Beaver Falls, Pennsylvania because that is what the record indicates for GREGORY W CLARK (CRNA).
What if Beaver Falls, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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