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LORENA K. C. CLARK ARNP-C
NPI 1114689650
Nurse Practitioner - Family in Riverview, FL

Active since October 12, 2021PECOS Enrolled
12210 CREEK PRESERVE DR, RIVERVIEW, FL 33579(646) 256-3988 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lorena K. C. Clark Arnp-c NPPES

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

LORENA K. C. CLARK ARNP-C (NPI 1114689650) is an individual family provider in Riverview, Florida, licensed in Florida (F08210430) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114689650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORENA K. C. CLARKCredential: ARNP-C
Location Address12210 CREEK PRESERVE DRRiverview, FL 33579-6501
Mailing Address12210 Creek Preserve DrRiverview, FL 33579-6501 · (646) 256-3988
Phone(646) 256-3988
Sole ProprietorYes
Enumeration DateOctober 12, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1114689650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · F08210430✔ Licensed in FL · RN9479417
12210 CREEK PRESERVE DR, Riverview, FL 33579
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorena K. C. Clark Arnp-c 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 33579 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Lorena Clark's NPI number?

The NPI number for Lorena Clark is 1114689650. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Lorena Clark located?

Lorena Clark practices at 12210 Creek Preserve Dr, Riverview, FL 33579. The listed phone number is (646) 256-3988.

What is Lorena Clark's specialty?

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

Is Lorena Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lorena Clark was last updated on October 12, 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.