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KRISTINA CLARK APRN
NPI 1063871341
Nurse Practitioner - Family in Port Saint Lucie, FL

Active since February 16, 2016PECOS EnrolledAccepts Medicare Assignment
1420 SW SAINT LUCIE WEST BLVD STE 107, PORT SAINT LUCIE, FL 34986(772) 879-1112(772) 879-1167 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Jan 24, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Kristina Clark Aprn NPPES

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

KRISTINA CLARK APRN (NPI 1063871341) is an individual family provider in Port Saint Lucie, Florida, licensed in Florida (APRN9324590) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063871341
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINA CLARKCredential: APRN
Location Address1420 SW SAINT LUCIE WEST BLVD STE 107Port Saint Lucie, FL 34986-1709
Mailing Address9886 E. Verona CircleVero Beach, FL 32966-6670
Phone(772) 879-1112
Fax(772) 879-1167
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 16, 2016
Last NPPES UpdateSeptember 27, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1063871341 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 FL · APRN9324590✔ Licensed in FL · ARNP9324590
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9324590 (FL)
1420 SW SAINT LUCIE WEST BLVD STE 107, Port Saint Lucie, FL 34986
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19035 Americana Rd Ste 13Vero Beach, FL 32966-6670 · Phone (954) 531-8630
Location 29886 E Verona CirVero Beach, FL 32966-3119 · Phone (954) 531-8630

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

Kristina Clark Aprn 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 ID3971875758
PECOS Enrollment IDI20170815001968
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

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 3

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

RICHARD J PENA -ARIET MD
Internal Medicine
1420 SW SAINT LUCIE WEST BLVD STE 107
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 879-1112
RICHARD J PENA- ARIET MD PA
Internal Medicine
1420 SW SAINT LUCIE WEST BLVD STE 107
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 879-1112
ALEXANDER FRIMAN APRN
Nurse Practitioner (Family)
1420 SW SAINT LUCIE WEST BLVD STE 107
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 879-1112

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 Kristina Clark's NPI number?

The NPI number for Kristina Clark is 1063871341. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Kristina Clark located?

Kristina Clark practices at 1420 SW Saint Lucie West Blvd Ste 107, Port Saint Lucie, FL 34986. The listed phone number is (772) 879-1112.

What is Kristina Clark's specialty?

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

Is Kristina Clark enrolled in Medicare?

Yes. Kristina 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.

Is Kristina Clark affiliated with any hospitals?

According to CMS data, Kristina Clark is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Kristina Clark was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.