KRISTINA CLARK APRN
NPI 1063871341
Nurse Practitioner - Family in Port Saint Lucie, FL
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
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kristina Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Saint Lucie, FL 34986
- Reassigned Medicare billing, Florida enrollment
- 5 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.
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, FLPhysician 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.
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.
PORT SAINT LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
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.
Which organization bills Medicare for Kristina Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Clark reassigns Medicare benefits to Richard J Pena- Ariet MD PA (Port Saint Lucie, FL). The 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 Kristina Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Clark accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Kristina 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.
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 5 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.
# Kristina Clark, APRN · NPI 1063871341
Family physician in Port Saint Lucie, Florida. Individual provider, active in the CMS NPPES registry since February 16, 2016.
## Identity
- **NPI:** 1063871341 (Entity type: Individual)
- **Enumerated:** February 16, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN9324590 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1420 SW SAINT LUCIE WEST BLVD STE 107, Port Saint Lucie, FL 34986-1709
- **Phone:** (772) 879-1112 · **Fax:** (772) 879-1167
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Richard J Pena- Ariet MD PA (NPI 1609804624, Port Saint Lucie, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063871341) · Data from the CMS NPPES public registry.