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

Andrew Clark, CRNP

Individual provider Family Nurse Practitioner · NPI 1609382670

Andrew Clark, CRNP is a Nurse Practitioner in Willow Street, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2605 Willow Street Pike N
Willow Street, PA 17584-9510
Phone: (717) 464-2838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP029864 (PA)

Record details

NPI number1609382670
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 28, 2017
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address2605 Willow Street Pike N, Willow Street, PA 17584-9510

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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