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

Nicholas Lee Clark, PA

Individual provider Medical Physician Assistant · NPI 1063148708

Nicholas Lee Clark, PA is a Physician Assistant in Lexington, Kentucky. Graduated from Lincoln Memorial University Medical Department in 2022, 4 years ago. Practices with University of Kentucky, a 786-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
Trained at
Lincoln Memorial University Medical Department
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1000 S Limestone
Lexington, KY 40536
Phone: (859) 323-9057
Fax: (859) 323-9502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Se Hospital Ave, Stuart, FL 34994-2346 — (772) 287-5200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1063148708
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2022 (4 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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