JARED DALE CLARK (APN) – Gerontology Nurse Practitioner, NPI 1467011239
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
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Provider Addresses for JARED DALE CLARK (APN)
3433, Farm to Market Road 1840, Boston, Bowie County, Texas, 75570, United States
NEW BOSTON, TX 755705486
Phone: (903) 276-7689
Type: Mailing
Titus Regional Medical Center, 2001, North Jefferson Avenue, Mount Pleasant, Titus County, Texas, 75455, United States
MT PLEASANT, TX 754552338
Phone: (903) 577-6115
Fax: (903) 577-6245
Type: Location
PO BOX 1326
MARSHALL, TX 756711326
Phone: (903) 927-3782
Fax: (903) 927-1764
Type: Mailing
4077 JEFFERSON AVE
TEXARKANA, AR 718541509
Phone: (870) 330-9200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-05-21 • Largest payer in this snapshot: PFIZER INC. ($47).
Total Amount
$109
General + Research + Ownership
Payments
5
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $47 |
| Xeris Pharmaceuticals, Inc. | $42 |
| Novo Nordisk Inc | $21 |
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: 2021-04-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190731003397 | I | Nurse Practitioner | TX | TBD |
| I20210413001040 | I | Nurse Practitioner | AR | 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 |
|---|---|---|---|---|
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 13 | 11 | $0 |
Insurance plans in this area (ZIP 75570)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | LA | |
| Family Practice | TX | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Mental Health Counselor | AR |
Reviews
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