JENNIFER NICOLE CLARKE (FNP) – Nurse Practitioner, NPI 1134756802

JENNIFER NICOLE CLARKE (FNP) is a healthcare provider. based in Chesterfield, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024178855 (VA). The NPI Number for JENNIFER NICOLE CLARKE (FNP) is 1134756802

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER NICOLE CLARKE (FNP)
NPI
1134756802
Phone
Not provided
Address
8719 CORCORAN PL
Enumeration Date
24 March 2020
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8045600490
Graduation Year
2019 (7 years ago)
PAC ID
1850722596
Group Practice PAC ID
3577465202
Professional Enrollment ID
I20200512002902
Address ID
VA232254061RI500XXBXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for JENNIFER NICOLE CLARKE (FNP)

  • 8719 CORCORAN PL

    CHESTERFIELD, VA 238327463

    Phone:

    Type: Mailing

  • 8719 Corcoran Pl

    Chesterfield, VA 238327463

    Phone: (804) 337-7446

    Type: Location

  • 500 HIOAKS RD STE B

    RICHMOND, VA 232254061

    Phone: (804) 560-0490

    Fax: (804) 560-3424

    Type: Location

  • PO BOX 281814

    ATLANTA, GA 303841814

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 107 Open Payments records for all available years, with a total value of $1,790.

Total Amount is formed as General ($1,790) + Research ($0) + Ownership ($0) = $1,790.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($419).

Total Amount

$1,790

General + Research + Ownership

Payments

107

Total payment records

General Amount

$1,790

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-05-12

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
I20200512002902INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes11737$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes8033$0
99214Established patient office or other outpatient visit, 30-39 minutes2524$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 23832)

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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: 3577465202View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER NICOLE CLARKE (FNP)?
NPI 1134756802 is assigned to JENNIFER NICOLE CLARKE (FNP) under the national enumeration system.
Is JENNIFER NICOLE CLARKE (FNP)'s NPI currently valid?
The extract we use shows JENNIFER NICOLE CLARKE (FNP) as active.
Can you summarize JENNIFER NICOLE CLARKE (FNP)'s specialty in plain language?
Clinically, the directory lists JENNIFER NICOLE CLARKE (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER NICOLE CLARKE (FNP)?
We surface Chesterfield, Virginia for JENNIFER NICOLE CLARKE (FNP) based on available NPPES addresses.
How can I contact JENNIFER NICOLE CLARKE (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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