Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Stacey Clark, PA
Physician Assistant in Penacook, NH · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1710968763
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Registry record
Entity type Individual (Type 1)
Name Stacey Clark
Credential PA
Sex Female
Practice address 4 Crescent St., Penacook, NH, 03303
Phone (603) 753-4302
Fax (603) 227-7570
Enumeration date Nov 8, 2005
Last updated in NPPES Sep 30, 2022
Taxonomy & licenses
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2511 (AZ) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0622 (NH) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3073660 | Medicaid | NH | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1710968763 active?
Yes, as of the latest NPPES snapshot, NPI 1710968763 is active (record last updated 2022-09-30).
How do I verify Stacey Clark's NPI record?
Cross-check NPI 1710968763 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Margarita Shugol Family Medicine Physician · Penacook, NH NPI 1588639215 W. Smith Family Medicine Physician · Penacook, NH NPI 1144266594 Tad Lanagan Family Medicine Physician · Penacook, NH NPI 1386962819 Mark Herron Physician Assistant · Penacook, NH NPI 1255605069 Meghan Baron Medical Physician Assistant · Penacook, NH NPI 1528318565 Isabelle Waddell Family Nurse Practitioner · Penacook, NH NPI 1245668094 Insha Haque Family Medicine Physician · Penacook, NH NPI 1396126454 Stephanie Pierce Family Nurse Practitioner · Penacook, NH NPI 1811367469
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-30.