HUNTER KELSEY CLARK
NPI 1043896079
Registered Nurse in Johnson City, TN

Active since March 21, 2021PECOS EnrolledAccepts Medicare Assignment
809 LAMONT ST, JOHNSON CITY, TN 37604(423) 306-1716 Get Directions Write a Review

NPPES record last updated: March 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hunter Kelsey Clark NPPES

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

HUNTER KELSEY CLARK (NPI 1043896079) is an individual registered nurse in Johnson City, Tennessee, licensed in Tennessee (218160) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043896079
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameHUNTER KELSEY CLARK
Location Address809 LAMONT STJohnson City, TN 37604-5453
Mailing Address1208 Fredericksburg DrJohnson City, TN 37604-6376 · (423) 306-1716
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2021
NPPES CertifiedMarch 21, 2021
NPI 1043896079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in TN · 218160
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

809 LAMONT ST, Johnson City, TN 37604

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

Hunter Kelsey Clark 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 ID9931544566
PECOS Enrollment IDI20240305001827
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Podiatrist
809 LAMONT ST
JOHNSON CITY, TN 37604
Occupational Therapist
809 LAMONT ST
JOHNSON CITY, TN 37604
Internal Medicine
809 LAMONT ST
JOHNSON CITY, TN 37604
Social Worker
809 LAMONT ST
JOHNSON CITY, TN 37604
Pharmacist (Pharmacotherapy)
809 LAMONT ST
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
809 LAMONT ST
JOHNSON CITY, TN 37604
Registered Nurse
809 LAMONT ST
JOHNSON CITY, TN 37604
Registered Nurse (Medical-Surgical)
809 LAMONT ST
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043896079, enumerated as an "individual" on March 21, 2021.

The provider is located at 809 LAMONT ST JOHNSON CITY, TN 37604 and the phone number is (423) 306-1716.

Registered Nurse with taxonomy code 163W00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Hunter Clark is affiliated with: DUKE UNIVERSITY HOSPITAL and DUKE REGIONAL HOSPITAL.