THERESA HITSELBERGER CLARK (MD) – Anesthesiology Physician, NPI 1962423236

THERESA HITSELBERGER CLARK (MD) is a healthcare provider. based in Suffolk, Virginia. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 0101240231 (VA). The NPI Number for THERESA HITSELBERGER CLARK (MD) is 1962423236

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
THERESA HITSELBERGER CLARK (MD)
NPI
1962423236
Phone
(757) 675-6771
Address
5005 PEBBLE CREEK CT
Enumeration Date
22 July 2006
Last Update Date
13 February 2019

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
5407723400
Graduation Year
2002 (24 years ago)
PAC ID
7113022559
Group Practice PAC ID
7416851597
Professional Enrollment ID
I20231004003797
Address ID
VA241537474SA1900XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,337 ANESTHESIOLOGY in VA

Provider Addresses for THERESA HITSELBERGER CLARK (MD)

  • 5005, Pebble Creek Court, The Riverfront at Harbour View, Harbour View, Suffolk, Virginia, 23435, United States

    SUFFOLK, VA 234354205

    Phone: (757) 675-6771

    Type: Mailing

  • 355 Crawford St

    suite 808

    Portsmouth, VA 237042816

    Phone: (757) 399-7451

    Fax: (757) 399-1158

    Type: Location

  • Riverside Regional Medical Center, 500, J Clyde Morris Boulevard, Deer Park, Newport News, Newport News City, Virginia, 23601, United States

    NEWPORT NEWS, VA 236011929

    Phone: (757) 594-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2023-10-04

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
I20231004003797IAnesthesiologyVATBD

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 23435)

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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: 7416851597View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNM
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YNC
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YVA

Reviews

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Frequently asked questions

What is the registry number for THERESA HITSELBERGER CLARK (MD)?
The registry entry for THERESA HITSELBERGER CLARK (MD) shows NPI 1962423236.
Is THERESA HITSELBERGER CLARK (MD)'s NPI status active today?
Active status means THERESA HITSELBERGER CLARK (MD)'s NPI record is not deactivated in the public file.
What does the directory say THERESA HITSELBERGER CLARK (MD) does?
Insurance directories may phrase it differently, but here THERESA HITSELBERGER CLARK (MD) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to THERESA HITSELBERGER CLARK (MD)?
THERESA HITSELBERGER CLARK (MD) is associated with Suffolk, Virginia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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