Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RIKI LEE CLARK PMHNP
NPI 1104541150
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MO

Active since October 11, 2022PECOS Enrolled
2021 S WAVERLY AVE STE 500, SPRINGFIELD, MO 65804(417) 855-4309(417) 855-8229 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, Jun 24, 2025, Nov 17, 2022 and 1 more (4 updates tracked since 2022).

About Riki Lee Clark Pmhnp NPPES

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

RIKI LEE CLARK PMHNP (NPI 1104541150) is an individual psychiatric/mental health provider in Springfield, Missouri, licensed in Missouri (2022042624) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104541150
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRIKI LEE CLARKCredential: PMHNP
Location Address2021 S WAVERLY AVE STE 500Springfield, MO 65804-2400
Mailing Address2021 S Waverly Ave Ste 500Springfield, MO 65804-2400 · (417) 880-9481
Fax(417) 855-8229
Sole ProprietorNo
Enumeration DateOctober 11, 2022
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1104541150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MO · 2022042624
Also ListedRegistered NurseTaxonomy 163W00000X · License 2014029277 (MO)
2021 S WAVERLY AVE STE 500, Springfield, MO 65804

Secondary Practice Locations 3

Location 1100 Mercy WayJoplin, MO 64804-4524 · Phone (417) 556-2354
Location 21845 E Rogers AveSpringfield, MO 65804-4595 · Phone (417) 820-2914
Location 31235 E Cherokee StSpringfield, MO 65804-2203 · Phone (417) 820-2000

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 (PECOS)

Riki Lee Clark Pmhnp 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 4

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

Counselor (Professional)
2021 S WAVERLY AVE STE 500
SPRINGFIELD, MO 65804
Counselor (Professional)
2021 S WAVERLY AVE STE 500
SPRINGFIELD, MO 65804
Nurse Practitioner (Psychiatric/Mental Health)
2021 S WAVERLY AVE STE 500
SPRINGFIELD, MO 65804
Chiropractor
2021 S WAVERLY AVE STE 500
SPRINGFIELD, MO 65804

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 Riki Clark's NPI number?

The NPI number for Riki Clark is 1104541150. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Riki Clark located?

Riki Clark practices at 2021 S Waverly Ave Ste 500, Springfield, MO 65804. The listed phone number is (417) 855-4309.

What is Riki Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Riki Clark enrolled in Medicare?

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

What insurance does Riki Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Riki 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.

When was this NPI record last updated?

The NPPES record for Riki Clark was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.