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MRS. KAILYNN ANDREA CLARK FNP-C
NPI 1205469327
Nurse Practitioner - Family in Phoenix, AZ

Active since February 17, 2020PECOS EnrolledAccepts Medicare Assignment
9225 N 3RD ST STE 102, PHOENIX, AZ 85020(602) 362-2983(480) 565-4552 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, May 9, 2023, May 2, 2023 and 4 more (7 updates tracked since 2020).

About Mrs. Kailynn Andrea Clark Fnp-c NPPES

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

MRS. KAILYNN ANDREA CLARK FNP-C (NPI 1205469327) is an individual family provider in Phoenix, Arizona, licensed in Arizona (238376) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205469327
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAILYNN ANDREA CLARKCredential: FNP-C
Location Address9225 N 3RD ST STE 102Phoenix, AZ 85020-2455
Mailing Address9225 N 3rd St Ste 102Phoenix, AZ 85020-2455 · (602) 362-2983 · Fax (480) 565-4552
Phone(602) 362-2983
Fax(480) 565-4552
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 17, 2020
Last NPPES UpdateMay 16, 20237 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1205469327 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
License✔ Licensed in AZ · 238376
9225 N 3RD ST STE 102, Phoenix, AZ 85020
Open in Google Maps ↗

Other Names 1

Former Name (1)Kailynn Andrea Bailey Fnp-c

Secondary Practice Locations 2

Location 1715 N Gilbert RdMesa, AZ 85203-6656 · Phone (480) 300-5282 · Fax (480) 781-0021
Location 219938 E Carriage WayQueen Creek, AZ 85142-4907 · Phone (480) 518-5251

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

Mrs. Kailynn Andrea Clark Fnp-c 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 ID5395166227
PECOS Enrollment IDI20200602001335
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 85020 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

UBH, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
9225 N 3RD ST STE 102
PHOENIX, AZ 85020
Maricopa County (602) 362-2983
MRS. HYANGSOOK LEE PATEL PHMNP
Nurse Practitioner (Psychiatric/Mental Health)
9225 N 3RD ST STE 102
PHOENIX, AZ 85020
Maricopa County (602) 362-2983
NICOLE KAY LARSEN FNP
Nurse Practitioner (Family)
9225 N 3RD ST STE 102
PHOENIX, AZ 85020
Maricopa County (602) 362-2983
DR. META GALABE DNP-PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
9225 N 3RD ST STE 102
PHOENIX, AZ 85020
Maricopa County (602) 362-2983
EKATERINA EREV
Nurse Practitioner (Family)
9225 N 3RD ST STE 102
PHOENIX, AZ 85020
Maricopa County (602) 369-2983

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 Kailynn Clark's NPI number?

The NPI number for Kailynn Clark is 1205469327. It was assigned to this individual provider in the NPPES registry on February 17, 2020. The provider is also known as Kailynn Andrea Bailey Fnp-C.

Where is Kailynn Clark located?

Kailynn Clark practices at 9225 N 3rd St Ste 102, Phoenix, AZ 85020. The listed phone number is (602) 362-2983.

What is Kailynn Clark's specialty?

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

Is Kailynn Clark enrolled in Medicare?

Yes. Kailynn 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 Kailynn Clark was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.