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

Nisse Virginia Clark, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1982967105

Nisse Virginia Clark, MD is an Obstetrics/Gynecology in Boston, Massachusetts. Qualified in 2012, 14 years ago. Practices with Emerson Practice Associates, Inc, a 247-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-6850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Washington St, Boston, MA 02111-1552 — (617) 636-5000
  • 55 Fruit St # 4, Boston, MA 02114-2621 — (617) 724-6850

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 265956 (MA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 252130 (MA)

Record details

NPI number1982967105
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESApril 11, 2018
Mailing address800 Washington St, Boston, MA 02111-1552

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Emerson Practice Associates, Inc — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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