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

Individual provider Certified Registered Nurse Anesthetist · NPI 1407150055

Benjamin Jacob Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Elkhart, Indiana. Graduated from Albany Medical College of Union University in 2010, 16 years ago. Practices with Apex Spine Institute, a 10-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Trained at
Albany Medical College of Union University
Licensed in
IN
In the registry since
2010
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

600 E Blvd
Elkhart, IN 46514-2483
Phone: (574) 523-3193
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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 28193318A (IN)

Record details

NPI number1407150055
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 22, 2010
Last updated in NPPESDecember 22, 2010
Mailing address14660 Carrigan Ct, Granger, IN 46530-4222

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2010 (16 years in practice)
Group practice Apex Spine Institute — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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