Amie Clark, CRNA

ActiveIndividual ProviderRegistered Nurse
NPI issued: January 31, 2011

Quick Facts

NPI Number
1053617589
TypeIndividual
StatusActive
SpecialtyRegistered Nurse
Taxonomy163W00000X — Registered Nurse
Phone
(314) 775-2811
StateMO

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1053617589)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (January 31, 2011)
Data source: CMS NPPES

Provider Overview

AMIE CLARK, CRNA is a Registered Nurse provider based in Ballwin, MO who has been registered with CMS since 2011. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1053617589
Provider TypeIndividual Provider
GenderFemale
CredentialCRNA
StatusActive
Enumeration DateJanuary 31, 2011

Practice Location

CityBallwin
StateMO
ZIP Code63021-5870
Phone(314) 775-2811

Specialties & Licenses

★ Primary
SpecialtyRegistered Nurse
Taxonomy Code163W00000X
License StateMO

Mailing Address

CityBallwin
StateMO
ZIP Code63021-5870
Phone(314) 775-2811
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1053617589 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1053617589for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1053617589 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Registered Nurse

Registered Nurses (RNs) evaluate patient health, administer medications and treatments, coordinate clinical care plans, and educate patients and families about health conditions.

Browse all Registered Nurseproviders →
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184,414
Registered Nurse Providers in the US

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People Also Ask

What is Amie Clark's NPI number?
Amie Clark's NPI number is 1053617589, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Amie Clark's NPI currently active?
Yes, Amie Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Amie Clark specialize in?
Amie Clark specializes in Registered Nurse. The healthcare taxonomy code associated with this specialty is 163W00000X.
Where does Amie Clark practice?
Amie Clark practices in Ballwin, MO 63021-5870.
When was Amie Clark's NPI issued?
Amie Clark's NPI was issued on January 31, 2011.
What is Amie Clark's provider type?
Amie Clark is registered as an Individual Provider under CMS NPI Type 1.