KRISTAL D CLARK CNP
NPI 1295184570
Nurse Practitioner - Family in Cincinnati, OH

Q: What is Kristal Clark's NPI number?

The NPI number for Kristal Clark is 1295184570. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Q: What is Kristal 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 Kristal Clark was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 08, 2016PECOS Enrolled

100/100

CMS Quality Rating

9775 COLERAIN AVE, CINCINNATI, OH 45251(513) 853-9700(513) 852-8969 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2023, Dec 5, 2022, Nov 22, 2022 (3 updates tracked since 2022).

On this page

About Kristal D Clark Cnp NPPES

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

KRISTAL D CLARK CNP (NPI 1295184570) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.19159) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains a secondary practice location in Milford.

NPPES Registry Identity

NPI1295184570

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTAL D CLARKCredential: CNP

Location Address9775 COLERAIN AVECincinnati, OH 45251-1442

Mailing Address9775 Colerain AveCincinnati, OH 45251-1442 · (513) 853-9700 · Fax (513) 852-8969

Phone(513) 853-9700

Fax(513) 852-8969

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 8, 2016

Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration

NPPES CertifiedNovember 21, 2023

✔ NPI 1295184570 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 OH · APRN.CNP.19159

9775 COLERAIN AVE, Cincinnati, OH 45251

Open in Google Maps ↗

Secondary Practice Location 1

Location 11064 State Route 28 Unit FMilford, OH 45150-4940 · Phone (513) 981-4050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Kristal D Clark Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608156765

PECOS Enrollment IDI20161206002288

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 Reassignments

Medicare enrollment records show Kristal Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Little Clinic Of Ohio LLC

3.2 mi

Family

7132 HAMILTON AVE
Cincinnati, OH 45231

Reassigned Medicare billing, Ohio enrollment
537 clinicians in this Medicare group

NPI 1982761896 (513) 728-2780

Trihealth U LLC

9.7 mi

Community Health

4605 MONTGOMERY RD
Cincinnati, OH 45212

Reassigned Medicare billing, Ohio enrollment
74 clinicians in this Medicare group

NPI 1528605177 (135) 853-9700

Mercy Health Urgent Care LLC

20 mi

Family Medicine

1064 STATE ROUTE 28 UNIT F
Milford, OH 45150

Reassigned Medicare billing, Ohio enrollment
84 clinicians in this Medicare group

NPI 1588390942 (513) 981-4050

Signify Health, LLC

811 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Ohio enrollment
672 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

91 services87 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

19 services19 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45251 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

KELLY DIANE FLORENCE FNP

Nurse Practitioner (Family)