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

Scott D Clark, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1396719605

Scott D Clark, ANP is a Nurse Practitioner in Buffalo, New York. Qualified in 2005, 21 years ago. Practices with Sisters of Charity Hospital of Buffalo New York, a 161-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

462 Grider St Exigence Hospitalist Of Team Health
Buffalo, NY 14215-3021
Phone: (716) 898-6995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F3043261 (NY)

Record details

NPI number1396719605
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Sisters Of Charity Hospital Of Buffalo New York — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Buffalo