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

Ryan Mathew Clark, CRNA

Individual provider Anesthesiologist Assistant · NPI 1184903460

Ryan Mathew Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bolivar, Missouri. Qualified in 2011, 15 years ago. Practices with Citizens Memorial Hospital District, a 48-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1500 N Oakland
Bolivar, MO 65613-3099
Phone: (417) 328-7705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2011022952 (MO)

Record details

NPI number1184903460
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESAugust 4, 2011
Mailing address1500 N Oakland, Bolivar, MO 65613-3099

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Citizens Memorial Hospital District — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare