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

Melissa Clark

Individual provider Registered Nurse · NPI 1710557871

Melissa Clark is a Certified Registered Nurse Anesthetist (CRNA) in Columbus, Ohio. Qualified in 2022, 4 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

410 W 10th Ave Fl 1
Columbus, OH 43210-1240
Phone: (614) 293-8487
Fax: (614) 293-8153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 3999 Richmond Rd, Beachwood, OH 44122-6046 — (000) 000-0000
  • 13207 Ravenna Rd, Chardon, OH 44024-7032 — (000) 000-0000
  • 158 W Main Rd, Conneaut, OH 44030-2039 — (000) 000-0000
  • 870 W Main St, Geneva, OH 44041-1219 — (000) 000-0000
  • 6847 N Chestnut St # 44266, Ravenna, OH 44266-3929 — (000) 000-0000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.0020839 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.372889 (OH)

Record details

NPI number1710557871
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Columbus