Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MADALYN CLARK APRN
NPI 1275456493
Nurse Practitioner - Family in Leawood, KS

Q: What is Madalyn Clark's NPI number?

The NPI number for Madalyn Clark is 1275456493. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Q: What is Madalyn Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madalyn Clark was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 03, 2026PECOS Enrolled

11729 ROE AVE, LEAWOOD, KS 66211(785) 424-0198 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

On this page

About Madalyn Clark Aprn NPPES

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

MADALYN CLARK APRN (NPI 1275456493) is an individual family provider in Leawood, Kansas, licensed in Kansas (53-85957-121) and active in the NPI registry since August 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275456493

Entity TypeIndividual

Primary Taxonomy363LF0000X

Provider Legal NameMADALYN CLARKCredential: APRN

Location Address11729 ROE AVELeawood, KS 66211-2605

Mailing Address1025 Stone Creek DrLawrence, KS 66049-4777 · (785) 424-0198

Phone(785) 424-0198

Sole ProprietorYes

Enumeration DateAugust 3, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1275456493 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 KS · 53-85957-121

11729 ROE AVE, Leawood, KS 66211

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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)

Madalyn Clark Aprn 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 66211 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 20

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

RACHEL L BREWER FNP-C

Nurse Practitioner (Family)