KIMBERLEY AMBER CLARK FNP-C
NPI 1043872864
Nurse Practitioner in Youngstown, OH
About Kimberley Amber Clark Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLEY AMBER CLARK FNP-C (NPI 1043872864) is an individual nurse practitioner in Youngstown, Ohio, licensed in Ohio (APRN.CNP.024945) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberley Amber Clark Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kimberley Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Youngstown, OH 44512
- Reassigned Medicare billing, Ohio enrollment
- 317 clinicians in this Medicare group
Butler, PA 16001
- Reassigned Medicare billing, Pennsylvania enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
YOUNGSTOWN, OH 44512
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 Kimberley Clark's NPI number?
The NPI number for Kimberley Clark is 1043872864. It was assigned to this individual provider in the NPPES registry on July 1, 2019.
Where is Kimberley Clark located?
Kimberley Clark practices at 7629 Market St Ste 200, Youngstown, OH 44512. The listed phone number is (330) 965-4540.
What is Kimberley Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kimberley Clark enrolled in Medicare?
Yes. Kimberley Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberley Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Clark reassigns Medicare benefits to 2 organizations: Triad Health Services, LLC (Youngstown, OH) and Quality Medical Associates, PC (Butler, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberley Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberley Clark was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Kimberley Amber Clark, FNP-C · NPI 1043872864
Nurse Practitioner physician in Youngstown, Ohio. Individual provider, active in the CMS NPPES registry since July 1, 2019.
## Identity
- **NPI:** 1043872864 (Entity type: Individual)
- **Enumerated:** July 1, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN.CNP.024945 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7629 MARKET ST STE 200, Youngstown, OH 44512-6082
- **Phone:** (330) 965-4540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Triad Health Services, LLC (NPI 1588925457, Youngstown, OH); Quality Medical Associates, PC (NPI 1407316276, Butler, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1043872864) · Data from the CMS NPPES public registry.