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KAREN SHEPARD CLARK RN, MS, CRNP, ACHPN
NPI 1073581518
Nurse Practitioner in Wilkes Barre, PA

Active since March 10, 2006PECOS Enrolled
1111 E END BLVD, WILKES BARRE, PA 18711(570) 888-6803(570) 888-2025 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2022, Apr 17, 2019 (2 updates tracked since 2019).

About Karen Shepard Clark Rn, Ms, Crnp, Achpn NPPES

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

KAREN SHEPARD CLARK RN, MS, CRNP, ACHPN (NPI 1073581518) is an individual nurse practitioner in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (TP003017H) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073581518
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN SHEPARD CLARKCredential: RN, MS, CRNP, ACHPN
Location Address1111 E END BLVDWilkes Barre, PA 18711-0030
Mailing Address1111 E End BlvdWilkes Barre, PA 18711-0030 · (570) 888-6803 · Fax (570) 888-2025
Phone(570) 888-6803
Fax(570) 888-2025
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1073581518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · TP003017H
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1111 E END BLVD, Wilkes Barre, PA 18711
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Other Names 1

Former Name (1)Karen Leidhecker

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Shepard Clark Rn, Ms, Crnp, Achpn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 18711 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

MICHELE KOZIEL LSW
Social Worker
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
MS. COLLEEN ANN LUTCHKO LCSW
Social Worker (Clinical)
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
TRINA PATEL
Pharmacist
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
NICHOLAS CHARLES JAMES PA-C
Physician Assistant
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3451
ANDREW WILLS
Pharmacist
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
CALLIE BLAIR ABRAMOWITZ PHARMD
Pharmacist
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
MARIA TERESA SCINICO MD
Internal Medicine (Pulmonary Disease)
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
MR. PAUL J KANJORSKI RPH
Pharmacist
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521

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 Karen Clark's NPI number?

The NPI number for Karen Clark is 1073581518. It was assigned to this individual provider in the NPPES registry on March 10, 2006. The provider is also known as Karen Leidhecker.

Where is Karen Clark located?

Karen Clark practices at 1111 E End Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 888-6803.

What is Karen Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Clark enrolled in Medicare?

Yes. Karen Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karen Clark was last updated on February 16, 2022. 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.