Benjamin Jacob Clark is a Elkhart, Indiana based nurse anesthetist with 15 years of experience as Anesthesia Administration. He completed he graduation from Albany Medical College Of Union University in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Benjamin Jacob Clark is 28193318A for Anesthesia Administration in Indiana. his current practice location is 600 East Blvd, Elkhart. Patients can reach him at 574-523-3193. Benjamin Jacob Clark is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1407150055.
Benjamin Jacob Clark is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Benjamin Jacob Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Experience: | 15+ years |
| Medical School Attended: | Albany Medical College Of Union University |
| Graduation Year: | 2010 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 600 East Blvd, Elkhart,
Indiana, 46514-2483 |
| Phone: | 574-523-3193 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4688858285 |
| Enrollment ID: | I20181217002203 |
| NPI Number: | 1407150055 |
| NPI Enumeration Date: | 22 Dec, 2010 |
| NPI Last Update On: | 22 Dec, 2010 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Benjamin Jacob Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 28193318A | Anesthesia Administration | Indiana | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Benjamin Jacob Clark has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc (4880699172) | 52 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 14660 Carrigan Ct,
Granger, Indiana |
| Zip: | 46530-4222 |
| Phone Number: | 574-523-3193 |
| Fax Number: | -- |
Patients can reach Benjamin Jacob Clark at
600 East Blvd, Elkhart, Indiana or can
call to book an appointment on 574-523-3193.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.