BRIAN KELLY CLARK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1821059403
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIAN KELLY CLARK (CRNA)
12 St Paul Drive
WellSpan Anesthesiology
Chambersburg, PA 17201
Phone: (717) 217-6072
Type: Location
501 East Main Street
WellSpan Anesthesiology
Waynesboro, PA 17268
Phone: (717) 765-3425
Type: Location
112 North 7th Street
WellSpan Anesthesiology
Chambersburg, PA 17201
Phone: (717) 267-7164
Type: Location
835 5th Ave
WellSpan Anesthesiology
Chambersburg, PA 17201
Phone: (717) 217-4312
Type: Location
PO BOX 37090
BALTIMORE, MD 212973090
Phone: (703) 295-9360
Fax: (703) 295-9369
Type: Mailing
501, Medical Drive, Hampton City, Virginia, 23666, United States
HAMPTON, VA 236666080
Phone: (703) 295-9360
Fax: (703) 295-9369
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 $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($33).
Total Amount
$33
General + Research + Ownership
Payments
1
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $33 |
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: 2018-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20120515000497 | I | Certified Registered Nurse Anesthetist (Crna) | PA | TBD |
| I20161220001895 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
| I20180924000983 | I | Certified Registered Nurse Anesthetist (Crna) | NY | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 16 | 15 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 14 | 13 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 17201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | MA | |
| Nurse Practitioner | PA | |
| - | NY | |
| Nurse Practitioner | PA | |
| Registered Dietitian Or Nutrition Professional | PA | |
| Gastroenterology, Internal Medicine | PA | |
| - | PA |
Reviews
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