CECELIA CLARKE (NP-C, MD) – Family Nurse Practitioner, NPI 1023097615

CECELIA CLARKE (NP-C, MD) is a healthcare provider. based in Hampton, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C, MD. They hold a License No. 0024166730 (VA). The NPI Number for CECELIA CLARKE (NP-C, MD) is 1023097615

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CECELIA CLARKE (NP-C, MD)
NPI
1023097615
Phone
(757) 896-8695
Address
1618 HARDY CASH DR
Enumeration Date
11 January 2006
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7578731736
Graduation Year
2005 (21 years ago)
PAC ID
0547265159
Group Practice PAC ID
1052209954
Professional Enrollment ID
I20061003000223
Address ID
VA236064236NE11825DRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for CECELIA CLARKE (NP-C, MD)

  • 1618, Hardy Cash Drive, Hampton City, Virginia, 23666, United States

    HAMPTON, VA 236662400

    Phone: (757) 896-8695

    Fax: (757) 896-8698

    Type: Mailing

  • 1820 E WARM SPRINGS RD STE 140

    LAS VEGAS, NV 891194593

    Phone: (702) 779-3956

    Type: Location

  • 320 GRANDVILLE ARCH

    SMITHFIELD, VA 234306266

    Phone: (757) 332-6342

    Type: Mailing

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: 2006-10-03

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
I20061003000223INurse PractitionerVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23666)

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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: 1052209954View full group profile
NameSpecialtyState
Marriage And Family TherapistVA
-VA
Marriage And Family TherapistVA
Clinical Social WorkerCO
Clinical Social WorkerVA
Mental Health CounselorVA
Marriage And Family TherapistVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Marriage And Family TherapistVA

Reviews

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Frequently asked questions

What number should I use to identify CECELIA CLARKE (NP-C, MD) for billing?
Administrative and clinical systems typically use NPI 1023097615 for CECELIA CLARKE (NP-C, MD).
Is CECELIA CLARKE (NP-C, MD) currently accepting referrals based on NPI status?
Registry metadata lists CECELIA CLARKE (NP-C, MD) as active.
How should patients interpret CECELIA CLARKE (NP-C, MD)'s specialty?
The extract shows Family Nurse Practitioner for CECELIA CLARKE (NP-C, MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to CECELIA CLARKE (NP-C, MD)?
CECELIA CLARKE (NP-C, MD) is associated with Hampton, Virginia in the same public data insurers reference.
Can I export CECELIA CLARKE (NP-C, MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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