KELLY NOELLE CLARK FNP
NPI 1124567276
Nurse Practitioner - Adult Health in Lone Tree, CO
About Kelly Noelle Clark Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY NOELLE CLARK FNP (NPI 1124567276) is an individual adult health provider in Lone Tree, Colorado, licensed in Colorado (APN.0992562-NP) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Noelle Clark Fnp 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80124 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONE TREE, CO 80124
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 Kelly Clark's NPI number?
The NPI number for Kelly Clark is 1124567276. It was assigned to this individual provider in the NPPES registry on February 21, 2017. The provider is also known as Kelly Noelle Norton.
Where is Kelly Clark located?
Kelly Clark practices at 10240 Park Meadows Dr, Lone Tree, CO 80124. The listed phone number is (303) 338-4545.
What is Kelly Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kelly Clark enrolled in Medicare?
Yes. Kelly 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.
When was this NPI record last updated?
The NPPES record for Kelly Clark was last updated on March 3, 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.
# Kelly Noelle Clark, FNP · NPI 1124567276
Adult Health physician in Lone Tree, Colorado. Individual provider, active in the CMS NPPES registry since February 21, 2017.
## Identity
- **NPI:** 1124567276 (Entity type: Individual)
- **Enumerated:** February 21, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APN.0992562-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 10240 PARK MEADOWS DR, Lone Tree, CO 80124-5425
- **Phone:** (303) 338-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124567276) · Data from the CMS NPPES public registry.