MS. ALEXANDRA ARNOLD CLARK (PA) – Physician Assistant, NPI 1952018756

MS. ALEXANDRA ARNOLD CLARK (PA) is a healthcare provider. based in Roanoke, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110009941 (VA). The NPI Number for MS. ALEXANDRA ARNOLD CLARK (PA) is 1952018756

Main info

Female
3 Years Of Experience
Name
MS. ALEXANDRA ARNOLD CLARK (PA)
NPI
1952018756
Phone
Not provided
Address
213 S JEFFERSON ST STE 1006
Enumeration Date
1 November 2022
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5409687368
Graduation Year
2023 (3 years ago)
PAC ID
9133560204
Group Practice PAC ID
6305199324
Professional Enrollment ID
I20240508000079
Address ID
VA240183410RO4633XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for MS. ALEXANDRA ARNOLD CLARK (PA)

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone:

    Type: Mailing

  • 2900 LAMB CIR STE 380

    CHRISTIANSBURG, VA 240736345

    Phone: (877) 544-3770

    Fax: (540) 857-5306

    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: 2024-05-08

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
I20240508000079IPhysician AssistantVATBD

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 24011)

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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: 6305199324View full group profile
NameSpecialtyState
Physician AssistantVA
Physician AssistantVA
O T O L A R Y N G O L O G YVA
Qualified AudiologistVA

Reviews

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Frequently asked questions

Is there an official ID for MS. ALEXANDRA ARNOLD CLARK (PA) in U.S. healthcare records?
The official identifier for MS. ALEXANDRA ARNOLD CLARK (PA) is NPI 1952018756.
Is there an active status for MS. ALEXANDRA ARNOLD CLARK (PA)?
For scheduling context, MS. ALEXANDRA ARNOLD CLARK (PA) is shown as active in the registry.
What area of care is associated with MS. ALEXANDRA ARNOLD CLARK (PA)?
MS. ALEXANDRA ARNOLD CLARK (PA)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. ALEXANDRA ARNOLD CLARK (PA)?
Travel planning: use Roanoke, Virginia as the reference point for MS. ALEXANDRA ARNOLD CLARK (PA), then confirm.
When was this NPI issued?
Enumeration for MS. ALEXANDRA ARNOLD CLARK (PA) is noted as November 1, 2022 where the registry provides it.

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