Ms. Kelsey Jo Clark is a Springfield, Illinois based nurse anesthetist with 12 years of experience as Anesthesia Administration. She completed she graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Kelsey Jo Clark is 209-011354 for Anesthesia Administration in Illinois. Her current practice location is 701 N 1st St, Springfield. Patients can reach her at 217-788-3000. Ms. Kelsey Jo Clark is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1518381896. Ms. Kelsey Jo 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:
Ms. Kelsey Jo 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:
12+ years
Medical School Attended:
Other
Graduation Year:
2013
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
701 N 1st St, Springfield, Illinois, 62781-5324
Phone:
217-788-3000
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:
5890927123
Enrollment ID:
I20140421000000
NPI Number:
1518381896
NPI Enumeration Date:
07 Feb, 2014
NPI Last Update On:
25 Oct, 2022
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kelsey Jo Clark are as mentioned below.
License Number
Specialization
State
Status
209-011354
Anesthesia Administration
Illinois
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Memorial Medical Center (140148)
Springfield, IL
Acute Care Hospital
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 Ms. Kelsey Jo Clark has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Memorial Medical Center (7315835949)
118
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kelsey Jo Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
041379797
Other
Illinois
RN LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 3428, Springfield, Illinois
Zip:
62708-3428
Phone Number:
217-588-2624
Fax Number:
217-757-7550
Patients can reach Ms. Kelsey Jo Clark at 701 N 1st St, Springfield, Illinois or can call to book an appointment on 217-788-3000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.