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

Gregory Scott Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1528627833

Gregory Scott Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marion, Illinois. Qualified in 2019, 7 years ago. Practices with Rural Health Pain Management LLC, a 36-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
7
Licensed in
IL, MO
In the registry since
2019
Specialties on file
2
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

3333 W Deyoung St
Marion, IL 62959-5884
Phone: (618) 998-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 405 W Jackson St, Carbondale, IL 62901-1462 — (618) 549-0721
  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 123868 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209019721 (IL)

Record details

NPI number1528627833
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address262 Woodland Hill Rd, Poplar Bluff, MO 63901-1870

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rural Health Pain Management Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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