Doctor profile · Federal record
Dr. Jonathan Clark, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Providence, RI
- NPI 1275923781
- MIPS 79.9 / 100 · 2023
- 11 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
164 Summit Ave
Providence, RI 029062853
(401) 793-4575 - Mailing address
-
333 Ricciuti Dr, Apt. 1824
Quincy, MA 021696287
Credentials & registration
- NPI registered
- February 2015 — 11 yrs on file
- Profile last updated
- September 16, 2021
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Rhode Island #APRN00302 · Massachusetts #RN277232
- Medicaid
- MA #110106160A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275923781. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
63
Distinct HCPCS
2
Medicare allowed
$4,412
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 45 | 45 | $65 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 18 | 18 | $83 |
In context: peer comparison
Among 34 peers in this city , average services per provider: 61. This provider delivers 1.0× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Jonathan Clark's medical specialty?
Dr. Jonathan Clark practices Certified Registered Nurse Anesthetist in Providence, RI.
Where does Dr. Jonathan Clark practice?
Dr. Jonathan Clark practices at 164 Summit Ave, Providence, RI 029062853. Office phone: 4017934575.
What is Dr. Jonathan Clark's NPI?
Dr. Jonathan Clark's National Provider Identifier (NPI) is 1275923781, issued by NPPES.
Does Dr. Jonathan Clark accept Medicare assignment?
Dr. Jonathan Clark does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Jonathan Clark commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for procedure on small and large bowel using an endoscope (HCPCS 00813). Source: CMS Medicare Physician & Other Practitioners file.