JOSHUA MICHAEL CLARK (PA-C) – Physician Assistant, NPI 1134651987

JOSHUA MICHAEL CLARK (PA-C) is a healthcare provider. based in La marque, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA11086 (TX). The NPI Number for JOSHUA MICHAEL CLARK (PA-C) is 1134651987

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA MICHAEL CLARK (PA-C)
NPI
1134651987
Phone
(281) 886-8964
Address
2600 FM 1764 RD
Enumeration Date
31 March 2017
Last Update Date
26 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
28188689649189
Graduation Year
2016 (10 years ago)
PAC ID
6204184195
Group Practice PAC ID
5890956650
Professional Enrollment ID
I20180809000867
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for JOSHUA MICHAEL CLARK (PA-C)

  • 2600, FM 1764, Arcadia, La Marque, Galveston County, Texas, 77568, United States

    STE 190

    LA MARQUE, TX 775682826

    Phone: (281) 886-8964

    Fax: (409) 440-8071

    Type: Mailing

  • Rollingbrook Street, Baytown, Harris County, Texas, 77521, United States

    BAYTOWN, TX 775214059

    Phone: (281) 420-9355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-08-09

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
I20180809000867IPhysician AssistantTXTBD

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
99284Emergency department visit with moderate level of medical decision making3131$0
99285Emergency department visit with high level of medical decision making2323$0
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1212$0
View full utilization report →

Insurance plans in this area (ZIP 77568)

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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: 5890956650View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for JOSHUA MICHAEL CLARK (PA-C)?
The registry entry for JOSHUA MICHAEL CLARK (PA-C) shows NPI 1134651987.
Is JOSHUA MICHAEL CLARK (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists JOSHUA MICHAEL CLARK (PA-C) as active.
What services align with JOSHUA MICHAEL CLARK (PA-C)'s listing?
JOSHUA MICHAEL CLARK (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JOSHUA MICHAEL CLARK (PA-C)?
JOSHUA MICHAEL CLARK (PA-C) shows a connection to La Marque, Texas in registry-derived data.
Why is information missing for JOSHUA MICHAEL CLARK (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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