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

Mr. Casey Clark, ARNP

Individual provider Registered Nurse · NPI 1518308923

Mr. Casey Clark, ARNP is a Nurse Practitioner in Raleigh, North Carolina. Graduated from University of Missouri, Columbia School of Medicine in 2009, 17 years ago. Practices with Avance Care PA, a 244-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, North Carolina and New York.

Years since qualifying
17
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
FL, NC, NY
In the registry since
2013
Specialties on file
5
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

815 Oberlin Rd
Raleigh, NC 27605-1300
Phone: (630) 740-0574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4710 S Florida Ave, Lakeland, FL 33813-2165 — (863) 284-6800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9295142 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 647396 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 9295142 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 50100977 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 647396 (NY)

Record details

NPI number1518308923
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJuly 13, 2013
Last updated in NPPESMarch 11, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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