Mrs. Elise Diane Clark
FNP BC | Nurse Practitioner | 24+ years Exp
2875 W Elm St, Lima
Ohio, 45805-2510
419-991-7805
Mrs. Elise Diane Clark is a Lima, Ohio based nurse practitioner with 24 years of experience in . She completed her graduation from University Of Toledo College Of Medicine in 2001. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Elise Diane Clark is APRN.CNP.06689 in Ohio. Her current practice location is 2875 W Elm St, Lima. Patients can reach her at 419-991-7805 or can fax her at 419-991-7862. Mrs. Elise Diane Clark is FNP BC and her NPI number (Unique professional ID assigned by NPPES) is 1184619595.
Mrs. Elise Diane Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Elise Diane Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Elise Diane Clark |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP BC |
| Experience: | 24+ years |
| Medical School Attended: | University Of Toledo College Of Medicine |
| Graduation Year: | 2001 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2875 W Elm St, Lima,
Ohio, 45805-2510 |
| Phone: | 419-991-7805 |
| Fax: | 419-991-7862 |
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: | 0345274478 |
| Enrollment ID: | I20050919000889 |
| NPI Number: | 1184619595 |
| NPI Enumeration Date: | 13 Sep, 2005 |
| NPI Last Update On: | 01 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Elise Diane Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN.CNP.06689 | | Ohio | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (360066) | Lima, OH | Acute Care Hospital |
| (360068) | Toledo, OH | Acute Care Hospital |
| (360009) | Lima, OH | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Elise Diane Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Family Physicians Of Lima Inc (7719961481) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Elise Diane Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500023896 | Other | Ohio | TRAVELERS/RAILROAD MEDICA |
| 9934001 | Other | Ohio | MEDICARE PTAN |
| 2360252 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Elise Diane Clark
2875 W Elm St,
Lima, Ohio |
| Zip: | 45805-2510 |
| Phone Number: | 419-991-7805 |
| Fax Number: | 419-991-7862 |
Patients can reach Mrs. Elise Diane Clark at
2875 W Elm St, Lima, Ohio or can
call to book an appointment on 419-991-7805.
Comments/ Reviews:
Patients can read all the reviews posted for Mrs. Elise Diane Clark below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mrs. Elise Diane Clark. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.