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KARLI T CLARK MSN, APRN, PMHNP-BC
NPI 1124980727
Nurse Practitioner - Psychiatric/Mental Health in Toledo, OH

Active since December 02, 2025PECOS EnrolledAccepts Medicare Assignment
3454 OAK ALLEY CT STE 209, TOLEDO, OH 43606(419) 540-8445(419) 912-5463 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2025, Dec 2, 2025 (2 updates tracked since 2025).

About Karli T Clark Msn, Aprn, Pmhnp-bc NPPES

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

KARLI T CLARK MSN, APRN, PMHNP-BC (NPI 1124980727) is an individual psychiatric/mental health provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.0040871) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124980727
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKARLI T CLARKCredential: MSN, APRN, PMHNP-BC
Location Address3454 OAK ALLEY CT STE 209Toledo, OH 43606-1370
Mailing Address3454 Oak Alley Ct Ste 209Toledo, OH 43606-1370 · (419) 912-5463 · Fax (419) 912-5463
Phone(419) 540-8445
Fax(419) 912-5463
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 2, 2025
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1124980727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0040871
3454 OAK ALLEY CT STE 209, Toledo, OH 43606
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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 and accepts Medicare assignment

Karli T Clark Msn, Aprn, Pmhnp-bc 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.

PECOS PAC ID2961977863
PECOS Enrollment IDI20260408002639
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 Reassignment

Medicare enrollment records show Karli Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wildwood Counseling Services LLC
Same address
Clinical
3454 OAK ALLEY CT STE 209
Toledo, OH 43606
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1902665698 (419) 405-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 9

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

PATRICE WILEY MSW
Social Worker (Clinical)
3454 OAK ALLEY CT STE 209
TOLEDO, OH 43606
Lucas County (419) 405-1000
MORGAN LYNAE PAUFF
Social Worker (Clinical)
3454 OAK ALLEY CT STE 209
TOLEDO, OH 43606
Lucas County (216) 508-1121
KATHLEEN MARIE JAWORSKI MSW, LISW
Social Worker (Clinical)
3454 OAK ALLEY CT STE 209
TOLEDO, OH 43606
Lucas County (419) 349-6457
CASSANDRA REINECK LLC
Social Worker (Clinical)
3454 OAK ALLEY CT STE 209
TOLEDO, OH 43606
Lucas County (567) 331-2278
KYLEE RAMSEY LPC
Counselor (Mental Health)
3454 OAK ALLEY CT STE 209
TOLEDO, OH 43606
Lucas County (419) 405-1000
LAURA E DAVIS CNP
Nurse Practitioner (Psychiatric/Mental Health)
3454 OAK ALLEY CT STE 209
TOLEDO, OH 43606
Lucas County (567) 331-2278
DEANNA MANOLIO LSW
Social Worker
3454 OAK ALLEY CT STE 209
TOLEDO, OH 43606
Lucas County (419) 405-1000
CASSANDRA REINECK MSW, LISW-S
Social Worker
3454 OAK ALLEY CT STE 209
TOLEDO, OH 43606
Lucas County (419) 405-1000

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 Karli Clark's NPI number?

The NPI number for Karli Clark is 1124980727. It was assigned to this individual provider in the NPPES registry on December 2, 2025.

Where is Karli Clark located?

Karli Clark practices at 3454 Oak Alley Ct Ste 209, Toledo, OH 43606. The listed phone number is (419) 540-8445.

What is Karli Clark's specialty?

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

Is Karli Clark enrolled in Medicare?

Yes. Karli 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.

Which organization bills Medicare for Karli Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karli Clark reassigns Medicare benefits to Wildwood Counseling Services LLC (Toledo, OH). The 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 Karli Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karli Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Karli 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 Karli Clark was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.