1. Home
  2. Directory
  3. Missouri
  4. Springfield
  5. Nurse Practitioner
  6. NPI Profile

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: October 18, 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
Phone(417) 855-4309
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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11235 E Cherokee StSpringfield, MO 65804-2203 · Phone (417) 820-2000
Location 21845 E Rogers AveSpringfield, MO 65804-4595 · Phone (417) 820-2914
Location 3100 Mercy WayJoplin, MO 64804-4524 · Phone (417) 556-2354

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Riki Clark reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ember & Ash Integrative Mental Health LLC
Same address
Psychiatric/Mental Health
2021 S WAVERLY AVE STE 500
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
NPI 1760336366 (417) 855-4309
Mercy Hospital Springfield
0.6 mi
General Acute Care Hospital
1235 E CHEROKEE ST
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 169 clinicians in this Medicare group
NPI 1043242159 (417) 820-2000
Mercy Clinic Springfield Communities
1.7 mi
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
NPI 1245277631 (855) 420-7900
Mercy Clinic Joplin LLC
58 mi
Emergency Medicine
3125 DR RUSSELL SMITH WAY
Carthage, MO 64836
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group
NPI 1477822567 (417) 358-8121
Med Management Of Kansas LLC
612 mi
Psychiatry
7272 WURZBACH RD STE 601
San Antonio, TX 78240
  • Reassigned Medicare billing, Missouri enrollment
  • 14 clinicians in this Medicare group
NPI 1942800859 (210) 615-3483
Grow Healthcare Group PA
1,099 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Missouri enrollment
  • 218 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MR. KEITH CLOUSE PLPC
Counselor (Professional)
2021 S WAVERLY AVE STE 500
SPRINGFIELD, MO 65804
Greene County (417) 597-4572
CASEY AARON WRAY MS LPC
Counselor (Professional)
2021 S WAVERLY AVE STE 500
SPRINGFIELD, MO 65804
Greene County (417) 597-4572
EMBER & ASH INTEGRATIVE MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
2021 S WAVERLY AVE STE 500
SPRINGFIELD, MO 65804
Greene County (417) 855-4309
JENNIFER LEIGH PALMER
Chiropractor
2021 S WAVERLY AVE STE 500
SPRINGFIELD, MO 65804
Greene County (417) 883-1141

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.

Which organizations bill Medicare for Riki Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riki Clark reassigns Medicare benefits to 6 organizations: Ember & Ash Integrative Mental Health LLC (Springfield, MO), Mercy Hospital Springfield (Springfield, MO), Mercy Clinic Springfield Communities (Springfield, MO), Mercy Clinic Joplin LLC (Carthage, MO), Med Management Of Kansas LLC (San Antonio, TX) and 1 more organization, listed in the Medicare section above. Each 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 Riki Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riki Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.