CLARK CARROLL (APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1962773648

Psychiatric/Mental Health Nurse Practitioner

CLARK CARROLL (APNP) is a healthcare provider. based in Janesville, Wisconsin. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APNP. They hold a License No. 7914 (WI). The NPI Number for CLARK CARROLL (APNP) is 1962773648

Main info

Male

9 Years Of Experience

Accepts Medicare Assignment

Name

CLARK CARROLL (APNP)

NPI

1962773648

Phone

(608) 755-1475

Address

1820 CENTER AVE

Enumeration Date

26 January 2012

Last Update Date

1 March 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6087551475

Graduation Year

2017 (9 years ago)

PAC ID

0749546844

Group Practice PAC ID

4082848072

Professional Enrollment ID

I20171106001869

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for CLARK CARROLL (APNP)

1820 CENTER AVE
JANESVILLE, WI 53546
Phone: (608) 755-1475
Fax: (608) 755-1733
Type: Location
203 W SUNNY LN
JANESVILLE, WI 535469091
Phone: (608) 755-1475
Fax: (608) 755-1733
Type: Mailing
625 W Washington Ave
Madison, WI 537032637
Phone: (608) 280-2700
Type: Location
1820 CENTER AVE STE 170
JANESVILLE, WI 535462878
Phone: (608) 755-1475
Fax: (608) 755-1733
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 53546)

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Frequently asked questions

Is CLARK CARROLL (APNP) listed with a National Provider Identifier?

Yes — CLARK CARROLL (APNP) has NPI 1962773648 on file in the registry.

Active or inactive — what applies to CLARK CARROLL (APNP)?

You should see CLARK CARROLL (APNP) as active in CMS-hosted NPPES data.

What clinical focus is listed for CLARK CARROLL (APNP)?

At a glance, CLARK CARROLL (APNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What locale is associated with CLARK CARROLL (APNP)?

Directory geography for CLARK CARROLL (APNP) centers on Janesville, Wisconsin.

Can I trust this NPI listing for CLARK CARROLL (APNP)?

The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.