NIKKI J CLARK FNP-BC
NPI 1043671696
Nurse Practitioner - Family in Lake Worth, TX

Active since March 10, 2016PECOS EnrolledAccepts Medicare Assignment
3520 NW CENTRE DR, LAKE WORTH, TX 76135(701) 364-4999 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Jun 1, 2023, Feb 14, 2022 and 2 more (5 updates tracked since 2020).

About Nikki J Clark Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKKI J CLARK FNP-BC (NPI 1043671696) is an individual family provider in Lake Worth, Texas, licensed in Texas (1180324) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043671696
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIKKI J CLARKCredential: FNP-BC
Location Address3520 NW CENTRE DRLake Worth, TX 76135-3612
Mailing Address3520 Nw Centre DrLake Worth, TX 76135-3612 · (701) 364-4999
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 10, 2016
Last NPPES UpdateMarch 4, 20265 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1043671696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TX · 1180324 Licensed in MS · 893588
Also ListedNurse PractitionerTaxonomy 363L00000X · License 893588 (MS)
3520 NW CENTRE DR, Lake Worth, TX 76135

Other Names 1

Former Name (1)Nikki C Jessup Fnp-bc

Other Identifiers 2

Medicaid1484259ND
Medicaid05436046MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nikki J Clark Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911205711
PECOS Enrollment IDI20250303003318
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3520 NW CENTRE DR
FORT WORTH, TX 76135
Family Medicine
3520 NW CENTRE DR
FORT WORTH, TX 76135
Physician Assistant
3520 NW CENTRE DR
FORT WORTH, TX 76135
Family Medicine
3520 NW CENTRE DR
FORT WORTH, TX 76135
Nurse Practitioner (Family)
3520 NW CENTRE DR
FORT WORTH, TX 76135
Family Medicine
3520 NW CENTRE DR
FORT WORTH, TX 76135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikki Clark's NPI number?

The NPI number for Nikki Clark is 1043671696. It was assigned to this individual provider in the NPPES registry on March 10, 2016. The provider is also known as Nikki C Jessup Fnp-Bc.

Where is Nikki Clark located?

Nikki Clark practices at 3520 NW Centre Dr, Lake Worth, TX 76135. The listed phone number is (701) 364-4999.

What is Nikki Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nikki Clark enrolled in Medicare?

Yes. Nikki Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nikki Clark accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Nikki Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nikki Clark was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.