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

Individual provider Certified Registered Nurse Anesthetist · NPI 1346685757

Tacie A Clark is a Certified Registered Nurse Anesthetist (CRNA) in Iowa City, Iowa. Qualified in 2015, 11 years ago. Practices with State University of Iowa, a 1,885-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
11
Licensed in
IA
In the registry since
2013
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Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 471-1517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 W Forevergreen Rd, North Liberty, IA 52317-9848 — (319) 356-2633

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 103376 (IA)

Record details

NPI number1346685757
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2013
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Iowa City