Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amie Melissa Clark, CRNA

Individual provider Registered Nurse · NPI 1053617589

Amie Melissa Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Ballwin, Missouri. Qualified in 2010, 16 years ago. Practices with Medical Center Anesthesiology of Athens, a 79-clinician group and accepts Medicare assignment. Licensed in Florida, Illinois and Missouri.

Years since qualifying
16
Licensed in
FL, IL, MO
In the registry since
2011
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

13515 Barrett Parkway Dr Ste 170
Ballwin, MO 63021-5870
Phone: (314) 775-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2016017057 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 041.389801 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 086232 (FL)

Record details

NPI number1053617589
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 31, 2011
Last updated in NPPESApril 25, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Medical Center Anesthesiology Of Athens — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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